German (DEU) electronic Product Information Leaflet (ePIL) Implementation Guide
0.7.0 - ci-build

German (DEU) electronic Product Information Leaflet (ePIL) Implementation Guide - Local Development build (v0.7.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DEU_ePIL_QRD_11_de_eCAPI - Detailed Descriptions

Draft as of 2026-05-04

Definitions for the DEU-ePIL-Extended-QRD-11-template-de-eCAPI resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Composition
Definition

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition 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=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

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

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

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
deu-epil-section-change-relates-to: If any section at any level has the DEU-ePIL-Section-Change extension set to true, then Composition.relatesTo with type='replaces' must be present. Conversely, if relatesTo with type='replaces' exists, at least one section must have the change extension set to true. ((section.descendants().extension.where(url='http://fhir.pharmaprotect.de/digital/epil-fhir-ig/StructureDefinition/DEU-ePIL-Section-Change' and value=true).exists() implies relatesTo.where(type='replaces').exists()) and (relatesTo.where(type='replaces').exists() implies section.descendants().extension.where(url='http://fhir.pharmaprotect.de/digital/epil-fhir-ig/StructureDefinition/DEU-ePIL-Section-Change' and value=true).exists()))
2. Composition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Composition.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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

Control0..1
BindingThe codes SHALL be taken from AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0
(required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Pattern Valuede
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Composition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
8. Composition.extension
Definition

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

Control10..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. Composition.extension:mahOrganization
    Slice NamemahOrganization
    Definition

    Reference to the Marketing Authorisation Holder organization. When Author and MAH are the same entity, both Composition.author and this extension reference the same Organization resource.

    ShortMarketing Authorisation Holder (MAH)
    Control1..1
    TypeExtension(MAH Organization Reference) (Extension Type: Reference(02 - DEU ePIL Organization))
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Composition.extension:deviceImage
    Slice NamedeviceImage
    Definition

    Optional image of the product or administration device (e.g., package, inhaler, pen, injection device) as base64-encoded data. Displayed as a header above the root chapter with no direct reference to content sections.

    ShortDevice image for header display
    Control0..1
    TypeExtension(DEU ePI Device Image Extension) (Extension Type: Attachment)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Composition.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

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

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Composition.status
    Definition

    Fixed to 'final'. Only finalized ePIL documents are accepted for submission (eAAPI) and delivered to consumers (eCAPI). Document workflow states such as drafts or discarded versions are not represented in the FHIR resource — these are managed by the platform, not the IG.


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

    ShortDocument status — fixed to 'final'registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
    Comments

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

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

    Control1..1
    BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|5.0.0
    (required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

    The workflow/clinical status of the composition.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

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

    Fixed Valuefinal
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Composition.type
    Definition

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

    ShortType of EPI document is Product Information Leaflet (PIL)Kind of composition (LOINC if possible)
    Comments

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

    Control1..1
    BindingThe codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes|5.0.0
    (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|5.0.0)

    Type of a composition.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Composition.subject
    Definition

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

    ShortProduct(s) the ePIL is aboutWho and/or what the composition is about
    Comments

    For clinical documents, this is usually the patient.

    Control10..*
    TypeReference(MedicinalProductDefinition, PackagedProductDefinition, Resource)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Composition.date
    Definition

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

    ShortComposition editing time
    Comments

    The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

    Control1..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.


    dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Composition.author
    Definition

    Reference to the organization that created and submitted the ePIL document. This may be the MAH itself or a subcompany acting on behalf of the MAH.


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

    ShortAuthor of the ePIL documentWho and/or what authored the composition
    Control1..1*
    TypeReference(02 - DEU ePIL Organization, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Identifies who is responsible for the content.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Composition.title
    Definition

    Free-text title of the ePIL combining the invented name with all strengths and pharmaceutical forms (e.g., 'Tripapolon 100mg, 300mg, 500mg Tabletten'). This structured title is displayed in ePIL listings and should include all marketed strengths and dosage forms covered by this document.


    Official human-readable label for the composition.

    ShortName of the ePIlHuman Readable name/title
    Comments

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

    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Composition.relatesTo
    Definition

    References to related versions of this Product Information Leaflet or other related documents.


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

    ShortReferences to related documentsRelationships to other compositions/documents
    Comments

    To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
    When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
    Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

    "relatesTo": [{
      "type": "replaces",
      "resourceReference": {
        "identifier": { 
          "system": "...", 
          "value": "..."
        }
      } 
    }]
    
    Control0..*
    TypeRelatedArtifact
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Composition.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 30. Composition.relatesTo:replaces
      Slice Namereplaces
      Definition

      Reference to the previous version that this document replaces. Used for change tracking in conjunction with section-level change extensions.


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

      ShortReference to previous version being replacedRelationships to other compositions/documents
      Comments

      To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
      When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
      Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

      "relatesTo": [{
        "type": "replaces",
        "resourceReference": {
          "identifier": { 
            "system": "...", 
            "value": "..."
          }
        } 
      }]
      
      Control0..*
      TypeRelatedArtifact
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Composition.relatesTo:replaces.type
      Definition

      The type of relationship to the related artifact.

      Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
      Comments

      The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

      Control1..1
      BindingThe codes SHALL be taken from RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0
      (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

      The type of relationship to the related artifact.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Fixed Valuereplaces
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Composition.relatesTo:replaces.publicationDate
      Definition

      The month when the previous version was published in YYYY-MM format (e.g., '2025-12').


      The date of publication of the artifact being referred to.

      ShortPublication date of the replaced version (YYYY-MM format)Date of publication of the artifact being referred to
      Control10..1
      Typedate
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Composition.section
      Definition

      Level 1 section heading for the whole EPI


      The root of the sections that make up the composition.

      ShortLevel 1 section heading for the whole EPIComposition is broken into sections
      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Composition.section. The slices areOrdered and Closed, and can be differentiated using the following discriminators:
      • value @ code.coding.system
      • value @ code.coding.code
      • 38. Composition.section.extension:sectionChange
        Slice NamesectionChange
        Definition

        When present and set to true, indicates this section has been modified compared to the previous version referenced in relatesTo.

        ShortMarks if this section has changed
        Control0..1
        TypeExtension(DEU ePI Section Change Extension) (Extension Type: boolean)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        40. Composition.section.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. Composition.section.entry
        Definition

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

        ShortA reference to data that supports this section
        Comments

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

        Control0..*
        This element is affected by the following invariants: cmp-1, cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. Composition.section.section
        Definition

        Nested Sections sub-section headings for level 2.


        A nested sub-section within this section.

        ShortNested sub-section headings for level 2Nested Section
        Comments

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

        Control10..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Composition.section.section.extension:sectionChange
        Slice NamesectionChange
        Definition

        When present and set to true, indicates this level 2 subsection has been modified compared to the previous version.

        ShortMarks if this subsection has changed
        Control0..1
        TypeExtension(DEU ePI Section Change Extension) (Extension Type: boolean)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        48. Composition.section.section.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        50. Composition.section.section.code
        Definition

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

        ShortClassification of section (recommended)
        Comments

        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

        Control10..1
        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

        Classification of a section of a composition/document.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Composition.section.section.code.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

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

        Control10..1*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Composition.section.section.code.coding.system
        Definition

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

        ShortIdentity of the terminology system
        Comments

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

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Composition.section.section.code.coding.code
        Definition

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

        ShortSymbol in syntax defined by the system
        Control10..1
        This element is affected by the following invariants: cod-1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Composition.section.section.entry
        Definition

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

        ShortA reference to data that supports this section
        Comments

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

        Control0..*
        This element is affected by the following invariants: cmp-1, cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Composition.section:QRD-200000029894-PACKUNGSBEILAGE
        Slice NameQRD-200000029894-PACKUNGSBEILAGE
        Definition

        The root of the sections that make up the composition.

        ShortComposition is broken into sections
        Control10..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        64. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.title
        Definition

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

        ShortLabel for section (e.g. for ToC)
        Comments

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

        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Requirements

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

        Alternate Namesheader, label, caption
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code
        Definition

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

        ShortClassification of section (recommended)
        Comments

        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

        Control10..1
        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

        Classification of a section of a composition/document.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.entry
        Definition

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

        ShortA reference to data that supports this section
        Comments

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

        Control0..*
        This element is affected by the following invariants: cmp-1, cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section
        Definition

        Nested Sections sub-section headings for level 2.


        A nested sub-section within this section.

        ShortNested sub-section headings for level 2Nested Section
        Comments

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

        Control60..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Composition.section.section. The slices areOrdered and Closed, and can be differentiated using the following discriminators:
        • value @ code.coding.system
        • value @ code.coding.code
        • 72. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

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

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          74. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code
          Definition

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

          ShortClassification of section (recommended)
          Comments

          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

          Control10..1
          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

          Classification of a section of a composition/document.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Requirements

          Provides computable standardized labels to topics within the document.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          76. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

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

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.system
          Definition

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

          ShortIdentity of the terminology system
          Comments

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

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.code
          Definition

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

          ShortSymbol in syntax defined by the system
          Control10..1
          This element is affected by the following invariants: cod-1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.entry
          Definition

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

          ShortA reference to data that supports this section
          Comments

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

          Control0..*
          This element is affected by the following invariants: cmp-1, cmp-2
          TypeReference(Resource)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
          Slice NameQRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
          Definition

          Nested Sections sub-section headings for level 2.


          A nested sub-section within this section.

          ShortNested sub-section headings for level 2Nested Section
          Comments

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

          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

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

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          88. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.title
          Definition

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

          ShortLabel for section (e.g. for ToC)
          Comments

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

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Requirements

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

          Alternate Namesheader, label, caption
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code
          Definition

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

          ShortClassification of section (recommended)
          Comments

          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

          Control10..1
          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

          Classification of a section of a composition/document.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Requirements

          Provides computable standardized labels to topics within the document.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

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

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.system
          Definition

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

          ShortIdentity of the terminology system
          Comments

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

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

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

          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.code
          Definition

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

          ShortSymbol in syntax defined by the system
          Control10..1
          This element is affected by the following invariants: cod-1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Pattern Value200000029895
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.entry
          Definition

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

          ShortA reference to data that supports this section
          Comments

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

          Control0..*
          This element is affected by the following invariants: cmp-1, cmp-2
          TypeReference(Resource)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section
          Definition

          Nested Sections sub-section headings for level 3.


          A nested sub-section within this section.

          ShortNested sub-section headings for level 3.Nested Section
          Comments

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

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ code.coding.system
          • value @ code.coding.code
          • 102. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

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

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            104. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code
            Definition

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

            ShortClassification of section (recommended)
            Comments

            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

            Control10..1
            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

            Classification of a section of a composition/document.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Provides computable standardized labels to topics within the document.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            106. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

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

            Control10..1*
            TypeCoding
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            108. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.system
            Definition

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

            ShortIdentity of the terminology system
            Comments

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

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

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

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            110. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.code
            Definition

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

            ShortSymbol in syntax defined by the system
            Control10..1
            This element is affected by the following invariants: cod-1
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to refer to a particular code in the system.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            112. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.entry
            Definition

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

            ShortA reference to data that supports this section
            Comments

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

            Control0..*
            This element is affected by the following invariants: cmp-1, cmp-2
            TypeReference(Resource)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            114. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections
            Slice NameQRD-200000029895-Blanksubsections
            Definition

            Nested Sections sub-section headings for level 3.


            A nested sub-section within this section.

            ShortNested sub-section headings for level 3.Nested Section
            Comments

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

            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            116. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

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

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            118. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.title
            Definition

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

            ShortLabel for section (e.g. for ToC)
            Comments

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

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Requirements

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

            Alternate Namesheader, label, caption
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            120. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code
            Definition

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

            ShortClassification of section (recommended)
            Comments

            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

            Control10..1
            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

            Classification of a section of a composition/document.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Provides computable standardized labels to topics within the document.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            122. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

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

            Control10..1*
            TypeCoding
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            124. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.system
            Definition

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

            ShortIdentity of the terminology system
            Comments

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

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

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

            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            126. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.code
            Definition

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

            ShortSymbol in syntax defined by the system
            Control10..1
            This element is affected by the following invariants: cod-1
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to refer to a particular code in the system.

            Pattern Value200000044346
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            128. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.entry
            Definition

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

            ShortA reference to data that supports this section
            Comments

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

            Control0..*
            This element is affected by the following invariants: cmp-1, cmp-2
            TypeReference(Resource)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            130. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
            Slice NameQRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
            Definition

            Nested Sections sub-section headings for level 2.


            A nested sub-section within this section.

            ShortNested sub-section headings for level 2Nested Section
            Comments

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

            Control10..1*
            TypeBackboneElement
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            132. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

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

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            134. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.title
            Definition

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

            ShortLabel for section (e.g. for ToC)
            Comments

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

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Requirements

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

            Alternate Namesheader, label, caption
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            136. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code
            Definition

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

            ShortClassification of section (recommended)
            Comments

            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

            Control10..1
            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

            Classification of a section of a composition/document.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Provides computable standardized labels to topics within the document.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            138. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

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

            Control10..1*
            TypeCoding
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            140. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.system
            Definition

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

            ShortIdentity of the terminology system
            Comments

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

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

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

            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            142. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.code
            Definition

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

            ShortSymbol in syntax defined by the system
            Control10..1
            This element is affected by the following invariants: cod-1
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to refer to a particular code in the system.

            Pattern Value200000029896
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            144. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.entry
            Definition

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

            ShortA reference to data that supports this section
            Comments

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

            Control0..*
            This element is affected by the following invariants: cmp-1, cmp-2
            TypeReference(Resource)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            146. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section
            Definition

            Nested Sections sub-section headings for level 3.


            A nested sub-section within this section.

            ShortNested sub-section headings for level 3.Nested Section
            Comments

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

            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • value @ code.coding.system
            • value @ code.coding.code
            • 148. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              150. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              152. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              154. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              156. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              158. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              160. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections
              Slice NameQRD-200000029896-Blanksubsections
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              162. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              164. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              166. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              168. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              170. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              172. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000044346
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              174. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              176. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
              Slice NameQRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              178. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              180. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              182. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              184. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              186. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              188. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029897
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              190. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              192. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
              Slice NameQRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              194. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              196. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              198. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              200. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              202. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              204. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029898
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              206. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              208. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche
              Slice NameQRD-200000029899-Kinder-und-Jugendliche
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              210. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              212. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              214. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              216. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              218. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              220. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029899
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              222. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              224. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
              Slice NameQRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              226. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              228. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              230. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              232. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              234. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              236. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029900
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              238. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              240. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
              Slice NameQRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              242. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              244. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              246. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              248. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              250. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              252. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029902
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              254. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              256. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
              Slice NameQRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              258. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              260. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              262. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              264. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              266. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              268. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029903
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              270. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              272. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
              Slice NameQRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              274. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              276. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              278. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              280. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              282. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              284. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029904
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              286. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              288. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
              Slice NameQRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
              Definition

              Nested Sections sub-section headings for level 2.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 2Nested Section
              Comments

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

              Control10..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              290. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              292. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.title
              Definition

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

              ShortLabel for section (e.g. for ToC)
              Comments

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

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

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

              Alternate Namesheader, label, caption
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              294. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code
              Definition

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

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

              Classification of a section of a composition/document.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              296. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

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

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              298. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.system
              Definition

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

              ShortIdentity of the terminology system
              Comments

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

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              300. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.code
              Definition

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

              ShortSymbol in syntax defined by the system
              Control10..1
              This element is affected by the following invariants: cod-1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Pattern Value200000029905
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              302. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.entry
              Definition

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

              ShortA reference to data that supports this section
              Comments

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

              Control0..*
              This element is affected by the following invariants: cmp-1, cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              304. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section
              Definition

              Nested Sections sub-section headings for level 3.


              A nested sub-section within this section.

              ShortNested sub-section headings for level 3.Nested Section
              Comments

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

              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ code.coding.system
              • value @ code.coding.code
              • 306. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                308. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                310. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                312. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                314. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                316. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                318. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections
                Slice NameQRD-200000029905-Blanksubsections
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                320. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                322. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                324. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                326. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                328. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                330. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000044346
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                332. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                334. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                Slice NameQRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                336. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                338. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                340. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                342. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                344. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                346. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029901
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                348. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                350. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                Slice NameQRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                352. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                354. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                356. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                358. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                360. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                362. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029906
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                364. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                366. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                Slice NameQRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                368. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                370. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                372. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                374. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                376. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                378. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029907
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                380. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                382. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                Slice NameQRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                384. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                386. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                388. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                390. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                392. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                394. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029908
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                396. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                398. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                Slice NameQRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                400. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                402. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                404. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                406. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                408. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                410. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029909
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                412. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                414. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                Slice NameQRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                Definition

                Nested Sections sub-section headings for level 2.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 2Nested Section
                Comments

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

                Control10..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                416. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

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

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                418. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.title
                Definition

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

                ShortLabel for section (e.g. for ToC)
                Comments

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

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

                Alternate Namesheader, label, caption
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                420. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code
                Definition

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

                ShortClassification of section (recommended)
                Comments

                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                Control10..1
                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                Classification of a section of a composition/document.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Provides computable standardized labels to topics within the document.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                422. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                424. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.system
                Definition

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

                ShortIdentity of the terminology system
                Comments

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

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                426. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.code
                Definition

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

                ShortSymbol in syntax defined by the system
                Control10..1
                This element is affected by the following invariants: cod-1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Pattern Value200000029910
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                428. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.entry
                Definition

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

                ShortA reference to data that supports this section
                Comments

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

                Control0..*
                This element is affected by the following invariants: cmp-1, cmp-2
                TypeReference(Resource)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                430. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section
                Definition

                Nested Sections sub-section headings for level 3.


                A nested sub-section within this section.

                ShortNested sub-section headings for level 3.Nested Section
                Comments

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

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                • value @ code.coding.system
                • value @ code.coding.code
                • 432. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

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

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  434. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code
                  Definition

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

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  436. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  438. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  440. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  This element is affected by the following invariants: cod-1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  442. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.entry
                  Definition

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

                  ShortA reference to data that supports this section
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  444. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections
                  Slice NameQRD-200000029910-Blanksubsections
                  Definition

                  Nested Sections sub-section headings for level 3.


                  A nested sub-section within this section.

                  ShortNested sub-section headings for level 3.Nested Section
                  Comments

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

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  446. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

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

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  448. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.title
                  Definition

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

                  ShortLabel for section (e.g. for ToC)
                  Comments

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

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Requirements

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

                  Alternate Namesheader, label, caption
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  450. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code
                  Definition

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

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  452. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  454. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

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

                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  456. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  This element is affected by the following invariants: cod-1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Pattern Value200000044346
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  458. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.entry
                  Definition

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

                  ShortA reference to data that supports this section
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  460. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                  Slice NameQRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                  Definition

                  Nested Sections sub-section headings for level 3.


                  A nested sub-section within this section.

                  ShortNested sub-section headings for level 3.Nested Section
                  Comments

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

                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  462. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

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

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  464. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.title
                  Definition

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

                  ShortLabel for section (e.g. for ToC)
                  Comments

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

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Requirements

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

                  Alternate Namesheader, label, caption
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  466. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code
                  Definition

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

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  468. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  470. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

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

                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  472. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  This element is affected by the following invariants: cod-1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Pattern Value200000029911
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  474. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.entry
                  Definition

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

                  ShortA reference to data that supports this section
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  476. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen
                  Slice NameQRD-200000029912-Meldung-von-Nebenwirkungen
                  Definition

                  Nested Sections sub-section headings for level 3.


                  A nested sub-section within this section.

                  ShortNested sub-section headings for level 3.Nested Section
                  Comments

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

                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  478. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

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

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  480. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.title
                  Definition

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

                  ShortLabel for section (e.g. for ToC)
                  Comments

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

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Requirements

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

                  Alternate Namesheader, label, caption
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  482. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code
                  Definition

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

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  484. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  486. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

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

                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  488. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  This element is affected by the following invariants: cod-1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Pattern Value200000029912
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  490. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.entry
                  Definition

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

                  ShortA reference to data that supports this section
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  492. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren
                  Slice NameQRD-200000029913-5--Wie-ist-X-aufzubewahren
                  Definition

                  Nested Sections sub-section headings for level 2.


                  A nested sub-section within this section.

                  ShortNested sub-section headings for level 2Nested Section
                  Comments

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

                  Control10..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  494. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

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

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  496. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.title
                  Definition

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

                  ShortLabel for section (e.g. for ToC)
                  Comments

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

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Requirements

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

                  Alternate Namesheader, label, caption
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  498. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code
                  Definition

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

                  ShortClassification of section (recommended)
                  Comments

                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                  Control10..1
                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                  Classification of a section of a composition/document.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Requirements

                  Provides computable standardized labels to topics within the document.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  500. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  502. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

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

                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  504. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  This element is affected by the following invariants: cod-1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Pattern Value200000029913
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  506. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.entry
                  Definition

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

                  ShortA reference to data that supports this section
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: cmp-1, cmp-2
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  508. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section
                  Definition

                  Nested Sections sub-section headings for level 3.


                  A nested sub-section within this section.

                  ShortNested sub-section headings for level 3.Nested Section
                  Comments

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

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                  • value @ code.coding.system
                  • value @ code.coding.code
                  • 510. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

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

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    512. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code
                    Definition

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

                    ShortClassification of section (recommended)
                    Comments

                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                    Control10..1
                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                    Classification of a section of a composition/document.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Provides computable standardized labels to topics within the document.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    514. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

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

                    Control10..1*
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    516. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.system
                    Definition

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

                    ShortIdentity of the terminology system
                    Comments

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

                    Control10..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

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

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    518. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.code
                    Definition

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

                    ShortSymbol in syntax defined by the system
                    Control10..1
                    This element is affected by the following invariants: cod-1
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to refer to a particular code in the system.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    520. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.entry
                    Definition

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

                    ShortA reference to data that supports this section
                    Comments

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

                    Control0..*
                    This element is affected by the following invariants: cmp-1, cmp-2
                    TypeReference(Resource)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    522. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections
                    Slice NameQRD-200000029913-Blanksubsections
                    Definition

                    Nested Sections sub-section headings for level 3.


                    A nested sub-section within this section.

                    ShortNested sub-section headings for level 3.Nested Section
                    Comments

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

                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    524. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

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

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    526. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.title
                    Definition

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

                    ShortLabel for section (e.g. for ToC)
                    Comments

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

                    Control10..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

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

                    Alternate Namesheader, label, caption
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    528. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code
                    Definition

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

                    ShortClassification of section (recommended)
                    Comments

                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                    Control10..1
                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                    Classification of a section of a composition/document.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Provides computable standardized labels to topics within the document.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    530. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

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

                    Control10..1*
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    532. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.system
                    Definition

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

                    ShortIdentity of the terminology system
                    Comments

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

                    Control10..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

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

                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    534. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.code
                    Definition

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

                    ShortSymbol in syntax defined by the system
                    Control10..1
                    This element is affected by the following invariants: cod-1
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to refer to a particular code in the system.

                    Pattern Value200000044346
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    536. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.entry
                    Definition

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

                    ShortA reference to data that supports this section
                    Comments

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

                    Control0..*
                    This element is affected by the following invariants: cmp-1, cmp-2
                    TypeReference(Resource)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    538. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                    Slice NameQRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                    Definition

                    Nested Sections sub-section headings for level 2.


                    A nested sub-section within this section.

                    ShortNested sub-section headings for level 2Nested Section
                    Comments

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

                    Control10..1*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    540. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

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

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    542. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.title
                    Definition

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

                    ShortLabel for section (e.g. for ToC)
                    Comments

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

                    Control10..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

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

                    Alternate Namesheader, label, caption
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    544. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code
                    Definition

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

                    ShortClassification of section (recommended)
                    Comments

                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                    Control10..1
                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                    Classification of a section of a composition/document.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Provides computable standardized labels to topics within the document.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    546. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

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

                    Control10..1*
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    548. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.system
                    Definition

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

                    ShortIdentity of the terminology system
                    Comments

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

                    Control10..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

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

                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    550. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.code
                    Definition

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

                    ShortSymbol in syntax defined by the system
                    Control10..1
                    This element is affected by the following invariants: cod-1
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to refer to a particular code in the system.

                    Pattern Value200000029914
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    552. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.entry
                    Definition

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

                    ShortA reference to data that supports this section
                    Comments

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

                    Control0..*
                    This element is affected by the following invariants: cmp-1, cmp-2
                    TypeReference(Resource)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    554. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section
                    Definition

                    Nested Sections sub-section headings for level 3.


                    A nested sub-section within this section.

                    ShortNested sub-section headings for level 3.Nested Section
                    Comments

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

                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • value @ code.coding.system
                    • value @ code.coding.code
                    • 556. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      558. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      560. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      562. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      564. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      566. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      568. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections
                      Slice NameQRD-200000029914-Blanksubsections
                      Definition

                      Nested Sections sub-section headings for level 3.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 3.Nested Section
                      Comments

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

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      570. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      572. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.title
                      Definition

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

                      ShortLabel for section (e.g. for ToC)
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

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

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      574. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      576. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      578. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      580. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Pattern Value200000044346
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      582. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      584. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält
                      Slice NameQRD-200000029915-Was-X-enthält
                      Definition

                      Nested Sections sub-section headings for level 3.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 3.Nested Section
                      Comments

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

                      Control0..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      586. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      588. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.title
                      Definition

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

                      ShortLabel for section (e.g. for ToC)
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

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

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      590. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      592. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      594. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      596. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Pattern Value200000029915
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      598. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      600. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                      Slice NameQRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                      Definition

                      Nested Sections sub-section headings for level 3.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 3.Nested Section
                      Comments

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

                      Control0..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      602. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      604. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.title
                      Definition

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

                      ShortLabel for section (e.g. for ToC)
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

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

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      606. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      608. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      610. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      612. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Pattern Value200000029916
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      614. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      616. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                      Slice NameQRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                      Definition

                      Nested Sections sub-section headings for level 3.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 3.Nested Section
                      Comments

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

                      Control0..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      618. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      620. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.title
                      Definition

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

                      ShortLabel for section (e.g. for ToC)
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

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

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      622. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      624. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      626. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      628. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Pattern Value200000029917
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      630. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      632. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use
                      Slice NameACS-instructions-for-use
                      Definition

                      Nested Sections sub-section headings for level 2.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 2Nested Section
                      Comments

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

                      Control0..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      634. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      636. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.title
                      Definition

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

                      ShortLabel for section (e.g. for ToC)
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

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

                      Alternate Namesheader, label, caption
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      638. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code
                      Definition

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

                      ShortClassification of section (recommended)
                      Comments

                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                      Control10..1
                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                      Classification of a section of a composition/document.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Provides computable standardized labels to topics within the document.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      640. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

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

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      642. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.system
                      Definition

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

                      ShortIdentity of the terminology system
                      Comments

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

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

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

                      Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      644. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.code
                      Definition

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

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      This element is affected by the following invariants: cod-1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Pattern Valueinstructions-for-use
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      646. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.entry
                      Definition

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

                      ShortA reference to data that supports this section
                      Comments

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

                      Control0..*
                      This element is affected by the following invariants: cmp-1, cmp-2
                      TypeReference(Resource)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      648. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section
                      Definition

                      Nested Sections sub-section headings for level 3.


                      A nested sub-section within this section.

                      ShortNested sub-section headings for level 3.Nested Section
                      Comments

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

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                      • value @ code.coding.system
                      • value @ code.coding.code
                      • 650. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

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

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        652. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code
                        Definition

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

                        ShortClassification of section (recommended)
                        Comments

                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                        Control10..1
                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                        Classification of a section of a composition/document.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Provides computable standardized labels to topics within the document.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        654. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

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

                        Control10..1*
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        656. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.system
                        Definition

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

                        ShortIdentity of the terminology system
                        Comments

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

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

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

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        658. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.code
                        Definition

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

                        ShortSymbol in syntax defined by the system
                        Control10..1
                        This element is affected by the following invariants: cod-1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        660. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.entry
                        Definition

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

                        ShortA reference to data that supports this section
                        Comments

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

                        Control0..*
                        This element is affected by the following invariants: cmp-1, cmp-2
                        TypeReference(Resource)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        662. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection
                        Slice NameACS-generic-subsection
                        Definition

                        Nested Sections sub-section headings for level 3.


                        A nested sub-section within this section.

                        ShortNested sub-section headings for level 3.Nested Section
                        Comments

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

                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        664. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

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

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        666. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.title
                        Definition

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

                        ShortLabel for section (e.g. for ToC)
                        Comments

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

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Requirements

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

                        Alternate Namesheader, label, caption
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        668. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code
                        Definition

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

                        ShortClassification of section (recommended)
                        Comments

                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                        Control10..1
                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                        Classification of a section of a composition/document.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Provides computable standardized labels to topics within the document.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        670. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

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

                        Control10..1*
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        672. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.system
                        Definition

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

                        ShortIdentity of the terminology system
                        Comments

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

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

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

                        Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        674. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.code
                        Definition

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

                        ShortSymbol in syntax defined by the system
                        Control10..1
                        This element is affected by the following invariants: cod-1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Pattern Valuesubsection
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        676. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.entry
                        Definition

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

                        ShortA reference to data that supports this section
                        Comments

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

                        Control0..*
                        This element is affected by the following invariants: cmp-1, cmp-2
                        TypeReference(Resource)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        678. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp
                        Slice NameACS-information-for-hcp
                        Definition

                        Nested Sections sub-section headings for level 2.


                        A nested sub-section within this section.

                        ShortNested sub-section headings for level 2Nested Section
                        Comments

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

                        Control0..1*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        680. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

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

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        682. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.title
                        Definition

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

                        ShortLabel for section (e.g. for ToC)
                        Comments

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

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Requirements

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

                        Alternate Namesheader, label, caption
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        684. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code
                        Definition

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

                        ShortClassification of section (recommended)
                        Comments

                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                        Control10..1
                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                        Classification of a section of a composition/document.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Provides computable standardized labels to topics within the document.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        686. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

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

                        Control10..1*
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        688. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.system
                        Definition

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

                        ShortIdentity of the terminology system
                        Comments

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

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

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

                        Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        690. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.code
                        Definition

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

                        ShortSymbol in syntax defined by the system
                        Control10..1
                        This element is affected by the following invariants: cod-1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Pattern Valueinformation-for-hcp
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        692. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.entry
                        Definition

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

                        ShortA reference to data that supports this section
                        Comments

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

                        Control0..*
                        This element is affected by the following invariants: cmp-1, cmp-2
                        TypeReference(Resource)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        694. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section
                        Definition

                        Nested Sections sub-section headings for level 3.


                        A nested sub-section within this section.

                        ShortNested sub-section headings for level 3.Nested Section
                        Comments

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

                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                        • value @ code.coding.system
                        • value @ code.coding.code
                        • 696. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

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

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          698. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code
                          Definition

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

                          ShortClassification of section (recommended)
                          Comments

                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                          Control10..1
                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                          Classification of a section of a composition/document.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Provides computable standardized labels to topics within the document.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          700. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

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

                          Control10..1*
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          702. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.system
                          Definition

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

                          ShortIdentity of the terminology system
                          Comments

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

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

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

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          704. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.code
                          Definition

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

                          ShortSymbol in syntax defined by the system
                          Control10..1
                          This element is affected by the following invariants: cod-1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          706. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.entry
                          Definition

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

                          ShortA reference to data that supports this section
                          Comments

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

                          Control0..*
                          This element is affected by the following invariants: cmp-1, cmp-2
                          TypeReference(Resource)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          708. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection
                          Slice NameACS-generic-subsection
                          Definition

                          Nested Sections sub-section headings for level 3.


                          A nested sub-section within this section.

                          ShortNested sub-section headings for level 3.Nested Section
                          Comments

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

                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          710. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

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

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          712. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.title
                          Definition

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

                          ShortLabel for section (e.g. for ToC)
                          Comments

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

                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Requirements

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

                          Alternate Namesheader, label, caption
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          714. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code
                          Definition

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

                          ShortClassification of section (recommended)
                          Comments

                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                          Control10..1
                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                          Classification of a section of a composition/document.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Provides computable standardized labels to topics within the document.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          716. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

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

                          Control10..1*
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          718. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.system
                          Definition

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

                          ShortIdentity of the terminology system
                          Comments

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

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

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

                          Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          720. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.code
                          Definition

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

                          ShortSymbol in syntax defined by the system
                          Control10..1
                          This element is affected by the following invariants: cod-1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Pattern Valuesubsection
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          722. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.entry
                          Definition

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

                          ShortA reference to data that supports this section
                          Comments

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

                          Control0..*
                          This element is affected by the following invariants: cmp-1, cmp-2
                          TypeReference(Resource)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          724. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter
                          Slice NameACS-unclassified-approved-chapter
                          Definition

                          Nested Sections sub-section headings for level 2.


                          A nested sub-section within this section.

                          ShortNested sub-section headings for level 2Nested Section
                          Comments

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

                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          726. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

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

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          728. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.title
                          Definition

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

                          ShortLabel for section (e.g. for ToC)
                          Comments

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

                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Requirements

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

                          Alternate Namesheader, label, caption
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          730. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code
                          Definition

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

                          ShortClassification of section (recommended)
                          Comments

                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                          Control10..1
                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                          Classification of a section of a composition/document.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Provides computable standardized labels to topics within the document.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          732. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

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

                          Control10..1*
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          734. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.system
                          Definition

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

                          ShortIdentity of the terminology system
                          Comments

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

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

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

                          Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          736. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.code
                          Definition

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

                          ShortSymbol in syntax defined by the system
                          Control10..1
                          This element is affected by the following invariants: cod-1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Pattern Valueunclassified-approved-chapter
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          738. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.entry
                          Definition

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

                          ShortA reference to data that supports this section
                          Comments

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

                          Control0..*
                          This element is affected by the following invariants: cmp-1, cmp-2
                          TypeReference(Resource)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          740. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section
                          Definition

                          Nested Sections sub-section headings for level 3.


                          A nested sub-section within this section.

                          ShortNested sub-section headings for level 3.Nested Section
                          Comments

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

                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                          • value @ code.coding.system
                          • value @ code.coding.code
                          • 742. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

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

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            744. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code
                            Definition

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

                            ShortClassification of section (recommended)
                            Comments

                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            746. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system
                            Comments

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

                            Control10..1*
                            TypeCoding
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            748. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.system
                            Definition

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

                            ShortIdentity of the terminology system
                            Comments

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

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

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

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            750. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.code
                            Definition

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

                            ShortSymbol in syntax defined by the system
                            Control10..1
                            This element is affected by the following invariants: cod-1
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Need to refer to a particular code in the system.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            752. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.entry
                            Definition

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

                            ShortA reference to data that supports this section
                            Comments

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

                            Control0..*
                            This element is affected by the following invariants: cmp-1, cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            754. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection
                            Slice NameACS-generic-subsection
                            Definition

                            Nested Sections sub-section headings for level 3.


                            A nested sub-section within this section.

                            ShortNested sub-section headings for level 3.Nested Section
                            Comments

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

                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            756. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

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

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            758. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.title
                            Definition

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

                            ShortLabel for section (e.g. for ToC)
                            Comments

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

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Requirements

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

                            Alternate Namesheader, label, caption
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            760. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code
                            Definition

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

                            ShortClassification of section (recommended)
                            Comments

                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            762. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system
                            Comments

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

                            Control10..1*
                            TypeCoding
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            764. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.system
                            Definition

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

                            ShortIdentity of the terminology system
                            Comments

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

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

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

                            Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            766. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.code
                            Definition

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

                            ShortSymbol in syntax defined by the system
                            Control10..1
                            This element is affected by the following invariants: cod-1
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Need to refer to a particular code in the system.

                            Pattern Valuesubsection
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            768. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.entry
                            Definition

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

                            ShortA reference to data that supports this section
                            Comments

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

                            Control0..*
                            This element is affected by the following invariants: cmp-1, cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            770. Composition.section:ACS-localized-sections
                            Slice NameACS-localized-sections
                            Definition

                            The root of the sections that make up the composition.

                            ShortComposition is broken into sections
                            Control0..1*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            772. Composition.section:ACS-localized-sections.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

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

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            774. Composition.section:ACS-localized-sections.title
                            Definition

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

                            ShortLabel for section (e.g. for ToC)
                            Comments

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

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Requirements

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

                            Alternate Namesheader, label, caption
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            776. Composition.section:ACS-localized-sections.code
                            Definition

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

                            ShortClassification of section (recommended)
                            Comments

                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                            Control10..1
                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                            Classification of a section of a composition/document.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Provides computable standardized labels to topics within the document.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            778. Composition.section:ACS-localized-sections.entry
                            Definition

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

                            ShortA reference to data that supports this section
                            Comments

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

                            Control0..*
                            This element is affected by the following invariants: cmp-1, cmp-2
                            TypeReference(Resource)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            780. Composition.section:ACS-localized-sections.section
                            Definition

                            Nested Sections sub-section headings for level 2.


                            A nested sub-section within this section.

                            ShortNested sub-section headings for level 2Nested Section
                            Comments

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

                            Control10..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ code.coding.system
                            • value @ code.coding.code
                            • 782. Composition.section:ACS-localized-sections.section.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

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

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              784. Composition.section:ACS-localized-sections.section.entry
                              Definition

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

                              ShortA reference to data that supports this section
                              Comments

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

                              Control0..*
                              This element is affected by the following invariants: cmp-1, cmp-2
                              TypeReference(Resource)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              786. Composition.section:ACS-localized-sections.section:ACS-general-notification
                              Slice NameACS-general-notification
                              Definition

                              A nested sub-section within this section.

                              ShortNested Section
                              Comments

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

                              Control0..1*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              788. Composition.section:ACS-localized-sections.section:ACS-general-notification.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

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

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              790. Composition.section:ACS-localized-sections.section:ACS-general-notification.title
                              Definition

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

                              ShortLabel for section (e.g. for ToC)
                              Comments

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

                              Control10..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Requirements

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

                              Alternate Namesheader, label, caption
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              792. Composition.section:ACS-localized-sections.section:ACS-general-notification.code
                              Definition

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

                              ShortClassification of section (recommended)
                              Comments

                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                              Control10..1
                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                              Classification of a section of a composition/document.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Provides computable standardized labels to topics within the document.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              794. Composition.section:ACS-localized-sections.section:ACS-general-notification.entry
                              Definition

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

                              ShortA reference to data that supports this section
                              Comments

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

                              Control0..*
                              This element is affected by the following invariants: cmp-1, cmp-2
                              TypeReference(Resource)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              796. Composition.section:ACS-localized-sections.section:ACS-education-material
                              Slice NameACS-education-material
                              Definition

                              A nested sub-section within this section.

                              ShortNested Section
                              Comments

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

                              Control0..1*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              798. Composition.section:ACS-localized-sections.section:ACS-education-material.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

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

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              800. Composition.section:ACS-localized-sections.section:ACS-education-material.title
                              Definition

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

                              ShortLabel for section (e.g. for ToC)
                              Comments

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

                              Control10..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Requirements

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

                              Alternate Namesheader, label, caption
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              802. Composition.section:ACS-localized-sections.section:ACS-education-material.code
                              Definition

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

                              ShortClassification of section (recommended)
                              Comments

                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                              Control10..1
                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                              Classification of a section of a composition/document.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Provides computable standardized labels to topics within the document.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              804. Composition.section:ACS-localized-sections.section:ACS-education-material.entry
                              Definition

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

                              ShortA reference to data that supports this section
                              Comments

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

                              Control0..*
                              This element is affected by the following invariants: cmp-1, cmp-2
                              TypeReference(Resource)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              806. Composition.section:ACS-localized-sections.section:ACS-education-material.section
                              Definition

                              Nested Sections sub-section headings for level 3.


                              A nested sub-section within this section.

                              ShortNested sub-section headings for level 3.Nested Section
                              Comments

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

                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                              • value @ code.coding.system
                              • value @ code.coding.code
                              • 808. Composition.section:ACS-localized-sections.section:ACS-education-material.section.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

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

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                810. Composition.section:ACS-localized-sections.section:ACS-education-material.section.entry
                                Definition

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

                                ShortA reference to data that supports this section
                                Comments

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

                                Control0..*
                                This element is affected by the following invariants: cmp-1, cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                812. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection
                                Slice NameACS-generic-subsection
                                Definition

                                A nested sub-section within this section.

                                ShortNested Section
                                Comments

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

                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                814. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

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

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                816. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.title
                                Definition

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

                                ShortLabel for section (e.g. for ToC)
                                Comments

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

                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Requirements

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

                                Alternate Namesheader, label, caption
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                818. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code
                                Definition

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

                                ShortClassification of section (recommended)
                                Comments

                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                Control10..1
                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                Classification of a section of a composition/document.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Requirements

                                Provides computable standardized labels to topics within the document.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                820. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.entry
                                Definition

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

                                ShortA reference to data that supports this section
                                Comments

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

                                Control0..*
                                This element is affected by the following invariants: cmp-1, cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                822. Composition.section:ACS-localized-sections.section:ACS-additional-chapter
                                Slice NameACS-additional-chapter
                                Definition

                                A nested sub-section within this section.

                                ShortNested Section
                                Comments

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

                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                824. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

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

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                826. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.title
                                Definition

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

                                ShortLabel for section (e.g. for ToC)
                                Comments

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

                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Requirements

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

                                Alternate Namesheader, label, caption
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                828. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code
                                Definition

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

                                ShortClassification of section (recommended)
                                Comments

                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                Control10..1
                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                Classification of a section of a composition/document.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Requirements

                                Provides computable standardized labels to topics within the document.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                830. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.entry
                                Definition

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

                                ShortA reference to data that supports this section
                                Comments

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

                                Control0..*
                                This element is affected by the following invariants: cmp-1, cmp-2
                                TypeReference(Resource)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                832. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section
                                Definition

                                Nested Sections sub-section headings for level 3.


                                A nested sub-section within this section.

                                ShortNested sub-section headings for level 3.Nested Section
                                Comments

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

                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                • value @ code.coding.system
                                • value @ code.coding.code
                                • 834. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  836. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.entry
                                  Definition

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

                                  ShortA reference to data that supports this section
                                  Comments

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

                                  Control0..*
                                  This element is affected by the following invariants: cmp-1, cmp-2
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  838. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection
                                  Slice NameACS-generic-subsection
                                  Definition

                                  A nested sub-section within this section.

                                  ShortNested Section
                                  Comments

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

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  840. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  842. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.title
                                  Definition

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

                                  ShortLabel for section (e.g. for ToC)
                                  Comments

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

                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Requirements

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

                                  Alternate Namesheader, label, caption
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  844. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code
                                  Definition

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

                                  ShortClassification of section (recommended)
                                  Comments

                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                  Control10..1
                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                  Classification of a section of a composition/document.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Requirements

                                  Provides computable standardized labels to topics within the document.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  846. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.entry
                                  Definition

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

                                  ShortA reference to data that supports this section
                                  Comments

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

                                  Control0..*
                                  This element is affected by the following invariants: cmp-1, cmp-2
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                  Guidance on how to interpret the contents of this table can be foundhere

                                  0. Composition
                                  2. Composition.language
                                  Pattern Valuede
                                  4. Composition.section:QRD-200000029894-PACKUNGSBEILAGE
                                  Slice NameQRD-200000029894-PACKUNGSBEILAGE
                                  6. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.title
                                  Control1..?
                                  8. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section
                                  Control6..?
                                  SlicingThis element introduces a set of slices on Composition.section.section. The slices areOrdered and Closed, and can be differentiated using the following discriminators:
                                  • value @ code.coding.system
                                  • value @ code.coding.code
                                  • 10. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
                                    Slice NameQRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
                                    Control1..1
                                    TypeBackboneElement
                                    12. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.title
                                    Control1..?
                                    14. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code
                                    Control1..?
                                    16. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding
                                    18. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.system
                                    Control1..?
                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                    20. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.code
                                    Control1..?
                                    Pattern Value200000029895
                                    22. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section
                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                    • value @ code.coding.system
                                    • value @ code.coding.code
                                    • 24. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections
                                      Slice NameQRD-200000029895-Blanksubsections
                                      Control0..*
                                      TypeBackboneElement
                                      26. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.title
                                      Control1..?
                                      28. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code
                                      Control1..?
                                      30. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding
                                      32. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.system
                                      Control1..?
                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                      34. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.code
                                      Control1..?
                                      Pattern Value200000044346
                                      36. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
                                      Slice NameQRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
                                      Control1..1
                                      TypeBackboneElement
                                      38. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.title
                                      Control1..?
                                      40. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code
                                      Control1..?
                                      42. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding
                                      44. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.system
                                      Control1..?
                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                      46. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.code
                                      Control1..?
                                      Pattern Value200000029896
                                      48. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section
                                      SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                      • value @ code.coding.system
                                      • value @ code.coding.code
                                      • 50. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections
                                        Slice NameQRD-200000029896-Blanksubsections
                                        Control0..*
                                        TypeBackboneElement
                                        52. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.title
                                        Control1..?
                                        54. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code
                                        Control1..?
                                        56. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding
                                        58. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        60. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.code
                                        Control1..?
                                        Pattern Value200000044346
                                        62. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
                                        Slice NameQRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
                                        Control0..1
                                        TypeBackboneElement
                                        64. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.title
                                        Control1..?
                                        66. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code
                                        Control1..?
                                        68. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding
                                        70. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        72. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.code
                                        Control1..?
                                        Pattern Value200000029897
                                        74. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
                                        Slice NameQRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
                                        Control0..1
                                        TypeBackboneElement
                                        76. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.title
                                        Control1..?
                                        78. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code
                                        Control1..?
                                        80. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding
                                        82. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        84. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.code
                                        Control1..?
                                        Pattern Value200000029898
                                        86. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche
                                        Slice NameQRD-200000029899-Kinder-und-Jugendliche
                                        Control0..1
                                        TypeBackboneElement
                                        88. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.title
                                        Control1..?
                                        90. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code
                                        Control1..?
                                        92. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding
                                        94. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        96. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.code
                                        Control1..?
                                        Pattern Value200000029899
                                        98. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
                                        Slice NameQRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
                                        Control0..1
                                        TypeBackboneElement
                                        100. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.title
                                        Control1..?
                                        102. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code
                                        Control1..?
                                        104. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding
                                        106. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        108. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.code
                                        Control1..?
                                        Pattern Value200000029900
                                        110. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
                                        Slice NameQRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
                                        Control0..1
                                        TypeBackboneElement
                                        112. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.title
                                        Control1..?
                                        114. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code
                                        Control1..?
                                        116. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding
                                        118. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        120. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.code
                                        Control1..?
                                        Pattern Value200000029902
                                        122. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
                                        Slice NameQRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
                                        Control0..1
                                        TypeBackboneElement
                                        124. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.title
                                        Control1..?
                                        126. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code
                                        Control1..?
                                        128. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding
                                        130. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        132. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.code
                                        Control1..?
                                        Pattern Value200000029903
                                        134. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
                                        Slice NameQRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
                                        Control0..1
                                        TypeBackboneElement
                                        136. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.title
                                        Control1..?
                                        138. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code
                                        Control1..?
                                        140. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding
                                        142. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        144. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.code
                                        Control1..?
                                        Pattern Value200000029904
                                        146. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
                                        Slice NameQRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
                                        Control1..1
                                        TypeBackboneElement
                                        148. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.title
                                        Control1..?
                                        150. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code
                                        Control1..?
                                        152. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding
                                        154. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.system
                                        Control1..?
                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                        156. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.code
                                        Control1..?
                                        Pattern Value200000029905
                                        158. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section
                                        SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                        • value @ code.coding.system
                                        • value @ code.coding.code
                                        • 160. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections
                                          Slice NameQRD-200000029905-Blanksubsections
                                          Control0..*
                                          TypeBackboneElement
                                          162. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.title
                                          Control1..?
                                          164. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code
                                          Control1..?
                                          166. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding
                                          168. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          170. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.code
                                          Control1..?
                                          Pattern Value200000044346
                                          172. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                                          Slice NameQRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                                          Control0..1
                                          TypeBackboneElement
                                          174. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.title
                                          Control1..?
                                          176. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code
                                          Control1..?
                                          178. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding
                                          180. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          182. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.code
                                          Control1..?
                                          Pattern Value200000029901
                                          184. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                                          Slice NameQRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                                          Control0..1
                                          TypeBackboneElement
                                          186. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.title
                                          Control1..?
                                          188. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code
                                          Control1..?
                                          190. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding
                                          192. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          194. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.code
                                          Control1..?
                                          Pattern Value200000029906
                                          196. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                                          Slice NameQRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                                          Control0..1
                                          TypeBackboneElement
                                          198. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.title
                                          Control1..?
                                          200. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code
                                          Control1..?
                                          202. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding
                                          204. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          206. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.code
                                          Control1..?
                                          Pattern Value200000029907
                                          208. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                                          Slice NameQRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                                          Control0..1
                                          TypeBackboneElement
                                          210. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.title
                                          Control1..?
                                          212. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code
                                          Control1..?
                                          214. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding
                                          216. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          218. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.code
                                          Control1..?
                                          Pattern Value200000029908
                                          220. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                                          Slice NameQRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                                          Control0..1
                                          TypeBackboneElement
                                          222. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.title
                                          Control1..?
                                          224. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code
                                          Control1..?
                                          226. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding
                                          228. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          230. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.code
                                          Control1..?
                                          Pattern Value200000029909
                                          232. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                                          Slice NameQRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                                          Control1..1
                                          TypeBackboneElement
                                          234. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.title
                                          Control1..?
                                          236. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code
                                          Control1..?
                                          238. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding
                                          240. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.system
                                          Control1..?
                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                          242. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.code
                                          Control1..?
                                          Pattern Value200000029910
                                          244. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section
                                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                          • value @ code.coding.system
                                          • value @ code.coding.code
                                          • 246. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections
                                            Slice NameQRD-200000029910-Blanksubsections
                                            Control0..*
                                            TypeBackboneElement
                                            248. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.title
                                            Control1..?
                                            250. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code
                                            Control1..?
                                            252. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding
                                            254. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.system
                                            Control1..?
                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                            256. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.code
                                            Control1..?
                                            Pattern Value200000044346
                                            258. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                                            Slice NameQRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                                            Control0..1
                                            TypeBackboneElement
                                            260. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.title
                                            Control1..?
                                            262. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code
                                            Control1..?
                                            264. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding
                                            266. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.system
                                            Control1..?
                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                            268. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.code
                                            Control1..?
                                            Pattern Value200000029911
                                            270. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen
                                            Slice NameQRD-200000029912-Meldung-von-Nebenwirkungen
                                            Control0..1
                                            TypeBackboneElement
                                            272. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.title
                                            Control1..?
                                            274. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code
                                            Control1..?
                                            276. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding
                                            278. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.system
                                            Control1..?
                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                            280. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.code
                                            Control1..?
                                            Pattern Value200000029912
                                            282. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren
                                            Slice NameQRD-200000029913-5--Wie-ist-X-aufzubewahren
                                            Control1..1
                                            TypeBackboneElement
                                            284. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.title
                                            Control1..?
                                            286. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code
                                            Control1..?
                                            288. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding
                                            290. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.system
                                            Control1..?
                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                            292. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.code
                                            Control1..?
                                            Pattern Value200000029913
                                            294. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section
                                            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                            • value @ code.coding.system
                                            • value @ code.coding.code
                                            • 296. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections
                                              Slice NameQRD-200000029913-Blanksubsections
                                              Control0..*
                                              TypeBackboneElement
                                              298. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.title
                                              Control1..?
                                              300. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code
                                              Control1..?
                                              302. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding
                                              304. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.system
                                              Control1..?
                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                              306. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.code
                                              Control1..?
                                              Pattern Value200000044346
                                              308. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                                              Slice NameQRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                                              Control1..1
                                              TypeBackboneElement
                                              310. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.title
                                              Control1..?
                                              312. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code
                                              Control1..?
                                              314. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding
                                              316. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.system
                                              Control1..?
                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                              318. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.code
                                              Control1..?
                                              Pattern Value200000029914
                                              320. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section
                                              SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                              • value @ code.coding.system
                                              • value @ code.coding.code
                                              • 322. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections
                                                Slice NameQRD-200000029914-Blanksubsections
                                                Control0..*
                                                TypeBackboneElement
                                                324. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.title
                                                Control1..?
                                                326. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code
                                                Control1..?
                                                328. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding
                                                330. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.system
                                                Control1..?
                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                332. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.code
                                                Control1..?
                                                Pattern Value200000044346
                                                334. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält
                                                Slice NameQRD-200000029915-Was-X-enthält
                                                Control0..1
                                                TypeBackboneElement
                                                336. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.title
                                                Control1..?
                                                338. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code
                                                Control1..?
                                                340. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding
                                                342. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.system
                                                Control1..?
                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                344. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.code
                                                Control1..?
                                                Pattern Value200000029915
                                                346. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                                                Slice NameQRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                                                Control0..1
                                                TypeBackboneElement
                                                348. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.title
                                                Control1..?
                                                350. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code
                                                Control1..?
                                                352. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding
                                                354. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.system
                                                Control1..?
                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                356. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.code
                                                Control1..?
                                                Pattern Value200000029916
                                                358. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                                                Slice NameQRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                                                Control0..1
                                                TypeBackboneElement
                                                360. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.title
                                                Control1..?
                                                362. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code
                                                Control1..?
                                                364. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding
                                                366. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.system
                                                Control1..?
                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                368. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.code
                                                Control1..?
                                                Pattern Value200000029917
                                                370. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use
                                                Slice NameACS-instructions-for-use
                                                Control0..1
                                                TypeBackboneElement
                                                372. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.title
                                                Control1..?
                                                374. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code
                                                Control1..?
                                                376. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding
                                                378. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.system
                                                Control1..?
                                                Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                380. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.code
                                                Control1..?
                                                Pattern Valueinstructions-for-use
                                                382. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section
                                                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                • value @ code.coding.system
                                                • value @ code.coding.code
                                                • 384. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection
                                                  Slice NameACS-generic-subsection
                                                  Control0..*
                                                  TypeBackboneElement
                                                  386. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.title
                                                  Control1..?
                                                  388. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code
                                                  Control1..?
                                                  390. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding
                                                  392. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.system
                                                  Control1..?
                                                  Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                  394. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.code
                                                  Control1..?
                                                  Pattern Valuesubsection
                                                  396. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp
                                                  Slice NameACS-information-for-hcp
                                                  Control0..1
                                                  TypeBackboneElement
                                                  398. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.title
                                                  Control1..?
                                                  400. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code
                                                  Control1..?
                                                  402. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding
                                                  404. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.system
                                                  Control1..?
                                                  Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                  406. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.code
                                                  Control1..?
                                                  Pattern Valueinformation-for-hcp
                                                  408. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section
                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                  • value @ code.coding.system
                                                  • value @ code.coding.code
                                                  • 410. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection
                                                    Slice NameACS-generic-subsection
                                                    Control0..*
                                                    TypeBackboneElement
                                                    412. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.title
                                                    Control1..?
                                                    414. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code
                                                    Control1..?
                                                    416. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding
                                                    418. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.system
                                                    Control1..?
                                                    Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                    420. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.code
                                                    Control1..?
                                                    Pattern Valuesubsection
                                                    422. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter
                                                    Slice NameACS-unclassified-approved-chapter
                                                    Control0..*
                                                    TypeBackboneElement
                                                    424. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.title
                                                    Control1..?
                                                    426. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code
                                                    Control1..?
                                                    428. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding
                                                    430. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.system
                                                    Control1..?
                                                    Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                    432. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.code
                                                    Control1..?
                                                    Pattern Valueunclassified-approved-chapter
                                                    434. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section
                                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                    • value @ code.coding.system
                                                    • value @ code.coding.code
                                                    • 436. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection
                                                      Slice NameACS-generic-subsection
                                                      Control0..*
                                                      TypeBackboneElement
                                                      438. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.title
                                                      Control1..?
                                                      440. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code
                                                      Control1..?
                                                      442. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding
                                                      444. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.system
                                                      Control1..?
                                                      Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                      446. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.code
                                                      Control1..?
                                                      Pattern Valuesubsection

                                                      Guidance on how to interpret the contents of this table can be foundhere

                                                      0. Composition
                                                      Definition

                                                      A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition 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=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

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

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

                                                      Control0..*
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                      dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                      deu-epil-section-change-relates-to: If any section at any level has the DEU-ePIL-Section-Change extension set to true, then Composition.relatesTo with type='replaces' must be present. Conversely, if relatesTo with type='replaces' exists, at least one section must have the change extension set to true. ((section.descendants().extension.where(url='http://fhir.pharmaprotect.de/digital/epil-fhir-ig/StructureDefinition/DEU-ePIL-Section-Change' and value=true).exists() implies relatesTo.where(type='replaces').exists()) and (relatesTo.where(type='replaces').exists() implies section.descendants().extension.where(url='http://fhir.pharmaprotect.de/digital/epil-fhir-ig/StructureDefinition/DEU-ePIL-Section-Change' and value=true).exists()))
                                                      2. Composition.id
                                                      Definition

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

                                                      ShortLogical id of this artifact
                                                      Comments

                                                      Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                                                      Control0..1
                                                      Typeid
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summarytrue
                                                      4. Composition.meta
                                                      Definition

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

                                                      ShortMetadata about the resource
                                                      Control0..1
                                                      TypeMeta
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      6. Composition.implicitRules
                                                      Definition

                                                      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                      ShortA set of rules under which this content was created
                                                      Comments

                                                      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                                                      Control0..1
                                                      Typeuri
                                                      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supportfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      8. Composition.language
                                                      Definition

                                                      The base language in which the resource is written.

                                                      ShortLanguage of the resource content
                                                      Comments

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

                                                      Control0..1
                                                      BindingThe codes SHALL be taken from AllLanguages
                                                      (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                                                      IETF language tag for a human language

                                                      Typecode
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Pattern Valuede
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      10. Composition.text
                                                      Definition

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

                                                      ShortText summary of the resource, for human interpretation
                                                      Comments

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

                                                      Control0..1
                                                      This element is affected by the following invariants: dom-6
                                                      TypeNarrative
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Alternate Namesnarrative, html, xhtml, display
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      12. Composition.contained
                                                      Definition

                                                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                                                      ShortContained, inline Resources
                                                      Comments

                                                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                                                      Control0..*
                                                      This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                                                      TypeResource
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Alternate Namesinline resources, anonymous resources, contained resources
                                                      14. Composition.extension
                                                      Definition

                                                      An Extension

                                                      ShortExtension
                                                      Control1..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 16. Composition.extension:mahOrganization
                                                        Slice NamemahOrganization
                                                        Definition

                                                        Reference to the Marketing Authorisation Holder organization. When Author and MAH are the same entity, both Composition.author and this extension reference the same Organization resource.

                                                        ShortMarketing Authorisation Holder (MAH)
                                                        Control1..1
                                                        TypeExtension(MAH Organization Reference) (Extension Type: Reference(02 - DEU ePIL Organization))
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        18. Composition.extension:deviceImage
                                                        Slice NamedeviceImage
                                                        Definition

                                                        Optional image of the product or administration device (e.g., package, inhaler, pen, injection device) as base64-encoded data. Displayed as a header above the root chapter with no direct reference to content sections.

                                                        ShortDevice image for header display
                                                        Control0..1
                                                        TypeExtension(DEU ePI Device Image Extension) (Extension Type: Attachment)
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        20. Composition.modifierExtension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions that cannot be ignored
                                                        Comments

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

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        22. Composition.url
                                                        Definition

                                                        An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers.

                                                        ShortCanonical identifier for this Composition, represented as a URI (globally unique)
                                                        Comments

                                                        Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                                                        Control0..1
                                                        Typeuri
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Requirements

                                                        Allows the Composition to be referenced by a single globally unique identifier.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        24. Composition.identifier
                                                        Definition

                                                        A UUID uniquely identifying this specific version of the Product Information Leaflet (PIL).

                                                        ShortUnique ID for each individual ePIl version
                                                        Comments

                                                        Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        26. Composition.version
                                                        Definition

                                                        Semantic version identifier for this ePIL document following semver format (e.g., '1.0.0', '2.1.3'). This is distinct from the unique identifier and allows tracking of document revisions using MAJOR.MINOR.PATCH versioning.

                                                        ShortSemantic version of the ePIL document
                                                        Comments

                                                        While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        28. Composition.status
                                                        Definition

                                                        Fixed to 'final'. Only finalized ePIL documents are accepted for submission (eAAPI) and delivered to consumers (eCAPI). Document workflow states such as drafts or discarded versions are not represented in the FHIR resource — these are managed by the platform, not the IG.

                                                        ShortDocument status — fixed to 'final'
                                                        Comments

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

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

                                                        Control1..1
                                                        BindingThe codes SHALL be taken from CompositionStatus
                                                        (required to http://hl7.org/fhir/ValueSet/composition-status|5.0.0)

                                                        The workflow/clinical status of the composition.

                                                        Typecode
                                                        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Requirements

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

                                                        Fixed Valuefinal
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        30. Composition.type
                                                        Definition

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

                                                        ShortType of EPI document is Product Information Leaflet (PIL)
                                                        Comments

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

                                                        Control1..1
                                                        BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes
                                                        (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|5.0.0)

                                                        Type of a composition.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Requirements

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

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        32. Composition.type.id
                                                        Definition

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

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        Typeid
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        34. Composition.type.extension
                                                        Definition

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

                                                        ShortAdditional content defined by implementations
                                                        Comments

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

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Composition.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 36. Composition.type.coding
                                                          Definition

                                                          A reference to a code defined by a terminology system.

                                                          ShortCode defined by a terminology system
                                                          Comments

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

                                                          Control0..*
                                                          TypeCoding
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          38. Composition.type.coding.id
                                                          Definition

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

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          Typeid
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          40. Composition.type.coding.extension
                                                          Definition

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

                                                          ShortAdditional content defined by implementations
                                                          Comments

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

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Composition.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 42. Composition.type.coding.system
                                                            Definition

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

                                                            ShortIdentity of the terminology system
                                                            Comments

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

                                                            Control1..1
                                                            Typeuri
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Fixed Valuehttp://ema.europa.eu/fhir/CodeSystem/100000155531
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            44. Composition.type.coding.version
                                                            Definition

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

                                                            ShortVersion of the system - if relevant
                                                            Comments

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

                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            46. Composition.type.coding.code
                                                            Definition

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

                                                            ShortSymbol in syntax defined by the system
                                                            Control1..1
                                                            This element is affected by the following invariants: cod-1
                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

                                                            Need to refer to a particular code in the system.

                                                            Fixed Value100000155538
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            48. Composition.type.coding.display
                                                            Definition

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

                                                            ShortRepresentation defined by the system
                                                            Control0..1
                                                            This element is affected by the following invariants: cod-1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            50. Composition.type.coding.userSelected
                                                            Definition

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

                                                            ShortIf this coding was chosen directly by the user
                                                            Comments

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

                                                            Control0..1
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            52. Composition.type.text
                                                            Definition

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

                                                            ShortPlain text representation of the concept
                                                            Comments

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

                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            54. Composition.category
                                                            Definition

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

                                                            ShortCategorization of Composition
                                                            Control0..*
                                                            BindingFor example codes, see ReferencedItemCategoryValueSet
                                                            (example to http://hl7.org/fhir/ValueSet/referenced-item-category|5.0.0)

                                                            High-level kind of a clinical document at a macro level.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            56. Composition.subject
                                                            Definition

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

                                                            ShortProduct(s) the ePIL is about
                                                            Comments

                                                            For clinical documents, this is usually the patient.

                                                            Control1..*
                                                            TypeReference(MedicinalProductDefinition, PackagedProductDefinition)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            58. Composition.encounter
                                                            Definition

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

                                                            ShortContext of the Composition
                                                            Control0..1
                                                            TypeReference(Encounter)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

                                                            Provides context for the composition and supports searching.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            60. Composition.date
                                                            Definition

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

                                                            ShortComposition editing time
                                                            Comments

                                                            The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.

                                                            Control1..1
                                                            TypedateTime
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

                                                            dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, Bundle.timestamp is the date of packaging.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            62. Composition.useContext
                                                            Definition

                                                            The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances.

                                                            ShortThe context that the content is intended to support
                                                            Comments

                                                            When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                                                            Control0..*
                                                            TypeUsageContext
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

                                                            Assist in searching for appropriate content.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            64. Composition.author
                                                            Definition

                                                            Reference to the organization that created and submitted the ePIL document. This may be the MAH itself or a subcompany acting on behalf of the MAH.

                                                            ShortAuthor of the ePIL document
                                                            Control1..1
                                                            TypeReference(02 - DEU ePIL Organization)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Requirements

                                                            Identifies who is responsible for the content.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            66. Composition.name
                                                            Definition

                                                            A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                                                            ShortName for this Composition (computer friendly)
                                                            Comments

                                                            The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

                                                            Support human navigation and code generation.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            68. Composition.title
                                                            Definition

                                                            Free-text title of the ePIL combining the invented name with all strengths and pharmaceutical forms (e.g., 'Tripapolon 100mg, 300mg, 500mg Tabletten'). This structured title is displayed in ePIL listings and should include all marketed strengths and dosage forms covered by this document.

                                                            ShortName of the ePIl
                                                            Comments

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

                                                            Control1..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            70. Composition.note
                                                            Definition

                                                            For any additional notes.

                                                            ShortFor any additional notes
                                                            Comments

                                                            A comment, general note or annotation not coded elsewhere.

                                                            Control0..*
                                                            TypeAnnotation
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            72. Composition.attester
                                                            Definition

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

                                                            ShortAttests to accuracy of composition
                                                            Comments

                                                            Only list each attester once.

                                                            Control0..*
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Requirements

                                                            Identifies responsibility for the accuracy of the composition content.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            74. Composition.attester.id
                                                            Definition

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

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            This element is affected by the following invariants: ele-1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            76. Composition.attester.extension
                                                            Definition

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

                                                            ShortAdditional content defined by implementations
                                                            Comments

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

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            78. Composition.attester.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

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

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            80. Composition.attester.mode
                                                            Definition

                                                            The type of attestation the authenticator offers.

                                                            Shortpersonal | professional | legal | official
                                                            Control1..1
                                                            BindingThe codes SHOULD be taken from CompositionAttestationMode
                                                            (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode|5.0.0)

                                                            The way in which a person authenticated a composition.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Requirements

                                                            Indicates the level of authority of the attestation.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            82. Composition.attester.time
                                                            Definition

                                                            When the composition was attested by the party.

                                                            ShortWhen the composition was attested
                                                            Control0..1
                                                            TypedateTime
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            84. Composition.attester.party
                                                            Definition

                                                            Who attested the composition in the specified way.

                                                            ShortWho attested the composition
                                                            Control0..1
                                                            TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            86. Composition.custodian
                                                            Definition

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

                                                            ShortOrganization which maintains the composition
                                                            Comments

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

                                                            Control0..1
                                                            TypeReference(Organization)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            88. Composition.relatesTo
                                                            Definition

                                                            References to related versions of this Product Information Leaflet or other related documents.

                                                            ShortReferences to related documents
                                                            Comments

                                                            To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
                                                            When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
                                                            Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

                                                            "relatesTo": [{
                                                              "type": "replaces",
                                                              "resourceReference": {
                                                                "identifier": { 
                                                                  "system": "...", 
                                                                  "value": "..."
                                                                }
                                                              } 
                                                            }]
                                                            
                                                            Control0..*
                                                            TypeRelatedArtifact
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Composition.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ type
                                                            • 90. Composition.relatesTo:replaces
                                                              Slice Namereplaces
                                                              Definition

                                                              Reference to the previous version that this document replaces. Used for change tracking in conjunction with section-level change extensions.

                                                              ShortReference to previous version being replaced
                                                              Comments

                                                              To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.
                                                              When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource.
                                                              Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier:

                                                              "relatesTo": [{
                                                                "type": "replaces",
                                                                "resourceReference": {
                                                                  "identifier": { 
                                                                    "system": "...", 
                                                                    "value": "..."
                                                                  }
                                                                } 
                                                              }]
                                                              
                                                              Control0..*
                                                              TypeRelatedArtifact
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              92. Composition.relatesTo:replaces.id
                                                              Definition

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              Typeid
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              94. Composition.relatesTo:replaces.extension
                                                              Definition

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

                                                              ShortAdditional content defined by implementations
                                                              Comments

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

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Composition.relatesTo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 96. Composition.relatesTo:replaces.type
                                                                Definition

                                                                The type of relationship to the related artifact.

                                                                Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
                                                                Comments

                                                                The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

                                                                Control1..1
                                                                BindingThe codes SHALL be taken from RelatedArtifactType
                                                                (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

                                                                The type of relationship to the related artifact.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Fixed Valuereplaces
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                98. Composition.relatesTo:replaces.classifier
                                                                Definition

                                                                Provides additional classifiers of the related artifact.

                                                                ShortAdditional classifiers
                                                                Control0..*
                                                                BindingFor example codes, see CitationArtifactClassifier
                                                                (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier|5.0.0)

                                                                Additional classifiers for the related artifact.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                100. Composition.relatesTo:replaces.label
                                                                Definition

                                                                A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.

                                                                ShortShort label
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                102. Composition.relatesTo:replaces.display
                                                                Definition

                                                                A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.

                                                                ShortBrief description of the related artifact
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                104. Composition.relatesTo:replaces.citation
                                                                Definition

                                                                A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.

                                                                ShortBibliographic citation for the artifact
                                                                Comments

                                                                Additional structured information about citations should be captured as extensions.

                                                                Control0..1
                                                                Typemarkdown
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                106. Composition.relatesTo:replaces.document
                                                                Definition

                                                                The document being referenced, represented as an attachment. This is exclusive with the resource element.

                                                                ShortWhat document is being referenced
                                                                Control0..1
                                                                TypeAttachment
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                108. Composition.relatesTo:replaces.resource
                                                                Definition

                                                                The related artifact, such as a library, value set, profile, or other knowledge resource.

                                                                ShortWhat artifact is being referenced
                                                                Comments

                                                                If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.

                                                                Control0..1
                                                                Typecanonical(Resource)
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                110. Composition.relatesTo:replaces.resourceReference
                                                                Definition

                                                                The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

                                                                ShortWhat artifact, if not a conformance resource
                                                                Comments

                                                                If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

                                                                Control0..1
                                                                TypeReference(Resource)
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                112. Composition.relatesTo:replaces.publicationStatus
                                                                Definition

                                                                The publication status of the artifact being referred to.

                                                                Shortdraft | active | retired | unknown
                                                                Control0..1
                                                                BindingThe codes SHALL be taken from PublicationStatus
                                                                (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

                                                                Publication status of an artifact being referred to.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                114. Composition.relatesTo:replaces.publicationDate
                                                                Definition

                                                                The month when the previous version was published in YYYY-MM format (e.g., '2025-12').

                                                                ShortPublication date of the replaced version (YYYY-MM format)
                                                                Control1..1
                                                                Typedate
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                116. Composition.event
                                                                Definition

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

                                                                ShortThe clinical service(s) being documented
                                                                Comments

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

                                                                Control0..*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summarytrue
                                                                Requirements

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

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                118. Composition.event.id
                                                                Definition

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

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                This element is affected by the following invariants: ele-1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                120. Composition.event.extension
                                                                Definition

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

                                                                ShortAdditional content defined by implementations
                                                                Comments

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

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                122. Composition.event.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

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

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                124. Composition.event.period
                                                                Definition

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

                                                                ShortThe period covered by the documentation
                                                                Control0..1
                                                                TypePeriod
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                126. Composition.event.detail
                                                                Definition

                                                                Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.

                                                                ShortThe event(s) being documented, as code(s), reference(s), or both
                                                                Comments

                                                                An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more events are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                Control0..*
                                                                BindingFor example codes, see v3 Code System ActCode
                                                                (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                                                                This list of codes represents the main clinical acts being documented.

                                                                TypeCodeableReference(Resource)
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                128. Composition.section
                                                                Definition

                                                                Level 1 section heading for the whole EPI

                                                                ShortLevel 1 section heading for the whole EPI
                                                                Control1..*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summaryfalse
                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                SlicingThis element introduces a set of slices on Composition.section. The slices areOrdered and Closed, and can be differentiated using the following discriminators:
                                                                • value @ code.coding.system
                                                                • value @ code.coding.code
                                                                • 130. Composition.section.id
                                                                  Definition

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

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  132. Composition.section.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 134. Composition.section.extension:sectionChange
                                                                    Slice NamesectionChange
                                                                    Definition

                                                                    When present and set to true, indicates this section has been modified compared to the previous version referenced in relatesTo.

                                                                    ShortMarks if this section has changed
                                                                    Control0..1
                                                                    TypeExtension(DEU ePI Section Change Extension) (Extension Type: boolean)
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    136. Composition.section.modifierExtension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                    Comments

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

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                    Summarytrue
                                                                    Requirements

                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                    Alternate Namesextensions, user content, modifiers
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    138. Composition.section.title
                                                                    Definition

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

                                                                    ShortLabel for section (e.g. for ToC)
                                                                    Comments

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

                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Requirements

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

                                                                    Alternate Namesheader, label, caption
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    140. Composition.section.code
                                                                    Definition

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

                                                                    ShortClassification of section (recommended)
                                                                    Comments

                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                    Control0..1
                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                    Classification of a section of a composition/document.

                                                                    TypeCodeableConcept
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Provides computable standardized labels to topics within the document.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    142. Composition.section.author
                                                                    Definition

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

                                                                    ShortWho and/or what authored the section
                                                                    Control0..*
                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Identifies who is responsible for the content.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    144. Composition.section.focus
                                                                    Definition

                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                    Comments

                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                    Control0..1
                                                                    TypeReference(Resource)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    146. Composition.section.text
                                                                    Definition

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

                                                                    ShortText summary of the section, for human interpretation
                                                                    Comments

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

                                                                    Control0..1
                                                                    This element is affected by the following invariants: cmp-1
                                                                    TypeNarrative
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    148. Composition.section.orderedBy
                                                                    Definition

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

                                                                    ShortOrder of section entries
                                                                    Comments

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

                                                                    Control0..1
                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                    What order applies to the items in the entry.

                                                                    TypeCodeableConcept
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Requirements

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

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    150. Composition.section.entry
                                                                    Definition

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

                                                                    ShortA reference to data that supports this section
                                                                    Comments

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

                                                                    Control0..*
                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                    TypeReference(Resource)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    152. Composition.section.emptyReason
                                                                    Definition

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

                                                                    ShortWhy the section is empty
                                                                    Comments

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

                                                                    Control0..1
                                                                    This element is affected by the following invariants: cmp-2
                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                    If a section is empty, why it is empty.

                                                                    TypeCodeableConcept
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Requirements

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

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    154. Composition.section.section
                                                                    Definition

                                                                    Nested Sections sub-section headings for level 2.

                                                                    ShortNested sub-section headings for level 2
                                                                    Comments

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

                                                                    Control1..*
                                                                    TypeBackboneElement
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    156. Composition.section.section.id
                                                                    Definition

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

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    158. Composition.section.section.extension
                                                                    Definition

                                                                    An Extension

                                                                    ShortExtension
                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Composition.section.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 160. Composition.section.section.extension:sectionChange
                                                                      Slice NamesectionChange
                                                                      Definition

                                                                      When present and set to true, indicates this level 2 subsection has been modified compared to the previous version.

                                                                      ShortMarks if this subsection has changed
                                                                      Control0..1
                                                                      TypeExtension(DEU ePI Section Change Extension) (Extension Type: boolean)
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      162. Composition.section.section.modifierExtension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

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

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      164. Composition.section.section.title
                                                                      Definition

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

                                                                      ShortLabel for section (e.g. for ToC)
                                                                      Comments

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

                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Requirements

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

                                                                      Alternate Namesheader, label, caption
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      166. Composition.section.section.code
                                                                      Definition

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

                                                                      ShortClassification of section (recommended)
                                                                      Comments

                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                      Control1..1
                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                      Classification of a section of a composition/document.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Provides computable standardized labels to topics within the document.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      168. Composition.section.section.code.id
                                                                      Definition

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

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      Typeid
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      170. Composition.section.section.code.extension
                                                                      Definition

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

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

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

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 172. Composition.section.section.code.coding
                                                                        Definition

                                                                        A reference to a code defined by a terminology system.

                                                                        ShortCode defined by a terminology system
                                                                        Comments

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

                                                                        Control1..1
                                                                        TypeCoding
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        174. Composition.section.section.code.coding.id
                                                                        Definition

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

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        This element is affected by the following invariants: ele-1
                                                                        Typeid
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        176. Composition.section.section.code.coding.extension
                                                                        Definition

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

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

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

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 178. Composition.section.section.code.coding.system
                                                                          Definition

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

                                                                          ShortIdentity of the terminology system
                                                                          Comments

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

                                                                          Control1..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          180. Composition.section.section.code.coding.version
                                                                          Definition

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

                                                                          ShortVersion of the system - if relevant
                                                                          Comments

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

                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          182. Composition.section.section.code.coding.code
                                                                          Definition

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

                                                                          ShortSymbol in syntax defined by the system
                                                                          Control1..1
                                                                          This element is affected by the following invariants: cod-1
                                                                          Typecode
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          Need to refer to a particular code in the system.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          184. Composition.section.section.code.coding.display
                                                                          Definition

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

                                                                          ShortRepresentation defined by the system
                                                                          Control0..1
                                                                          This element is affected by the following invariants: cod-1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          186. Composition.section.section.code.coding.userSelected
                                                                          Definition

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

                                                                          ShortIf this coding was chosen directly by the user
                                                                          Comments

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

                                                                          Control0..1
                                                                          Typeboolean
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          188. Composition.section.section.code.text
                                                                          Definition

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

                                                                          ShortPlain text representation of the concept
                                                                          Comments

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

                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          190. Composition.section.section.author
                                                                          Definition

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

                                                                          ShortWho and/or what authored the section
                                                                          Control0..*
                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Identifies who is responsible for the content.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          192. Composition.section.section.focus
                                                                          Definition

                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                          Comments

                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                          Control0..1
                                                                          TypeReference(Resource)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          194. Composition.section.section.text
                                                                          Definition

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

                                                                          ShortText summary of the section, for human interpretation
                                                                          Comments

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

                                                                          Control0..1
                                                                          This element is affected by the following invariants: cmp-1
                                                                          TypeNarrative
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          196. Composition.section.section.orderedBy
                                                                          Definition

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

                                                                          ShortOrder of section entries
                                                                          Comments

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

                                                                          Control0..1
                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                          What order applies to the items in the entry.

                                                                          TypeCodeableConcept
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          198. Composition.section.section.entry
                                                                          Definition

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

                                                                          ShortA reference to data that supports this section
                                                                          Comments

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

                                                                          Control0..*
                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                          TypeReference(Resource)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          200. Composition.section.section.emptyReason
                                                                          Definition

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

                                                                          ShortWhy the section is empty
                                                                          Comments

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

                                                                          Control0..1
                                                                          This element is affected by the following invariants: cmp-2
                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                          If a section is empty, why it is empty.

                                                                          TypeCodeableConcept
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Requirements

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

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          202. Composition.section.section.section
                                                                          Definition

                                                                          Nested Sections sub-section headings for level 3.

                                                                          ShortNested sub-section headings for level 3.
                                                                          Comments

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

                                                                          Control0..*
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          204. Composition.section.section.section.id
                                                                          Definition

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

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          206. Composition.section.section.section.extension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 208. Composition.section.section.section.extension:sectionChange
                                                                            Slice NamesectionChange
                                                                            Definition

                                                                            When present and set to true, indicates this level 3 subsection has been modified compared to the previous version.

                                                                            ShortMarks if this subsection has changed
                                                                            Control0..1
                                                                            TypeExtension(DEU ePI Section Change Extension) (Extension Type: boolean)
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            210. Composition.section.section.section.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

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

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            212. Composition.section.section.section.title
                                                                            Definition

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

                                                                            ShortLabel for section (e.g. for ToC)
                                                                            Comments

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

                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supportfalse
                                                                            Summaryfalse
                                                                            Requirements

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

                                                                            Alternate Namesheader, label, caption
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            214. Composition.section.section.section.code
                                                                            Definition

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

                                                                            ShortClassification of section (recommended)
                                                                            Comments

                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                            Control1..1
                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                            Classification of a section of a composition/document.

                                                                            TypeCodeableConcept
                                                                            Is Modifierfalse
                                                                            Must Supportfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Provides computable standardized labels to topics within the document.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            216. Composition.section.section.section.code.id
                                                                            Definition

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

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            Typeid
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            218. Composition.section.section.section.code.extension
                                                                            Definition

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

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

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

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 220. Composition.section.section.section.code.coding
                                                                              Definition

                                                                              A reference to a code defined by a terminology system.

                                                                              ShortCode defined by a terminology system
                                                                              Comments

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

                                                                              Control1..1
                                                                              TypeCoding
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Requirements

                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              222. Composition.section.section.section.code.coding.id
                                                                              Definition

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

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              Typeid
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              224. Composition.section.section.section.code.coding.extension
                                                                              Definition

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

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

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

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 226. Composition.section.section.section.code.coding.system
                                                                                Definition

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

                                                                                ShortIdentity of the terminology system
                                                                                Comments

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

                                                                                Control1..1
                                                                                Typeuri
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

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

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                228. Composition.section.section.section.code.coding.version
                                                                                Definition

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

                                                                                ShortVersion of the system - if relevant
                                                                                Comments

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

                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                230. Composition.section.section.section.code.coding.code
                                                                                Definition

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

                                                                                ShortSymbol in syntax defined by the system
                                                                                Control1..1
                                                                                This element is affected by the following invariants: cod-1
                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to refer to a particular code in the system.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                232. Composition.section.section.section.code.coding.display
                                                                                Definition

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

                                                                                ShortRepresentation defined by the system
                                                                                Control0..1
                                                                                This element is affected by the following invariants: cod-1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

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

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                234. Composition.section.section.section.code.coding.userSelected
                                                                                Definition

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

                                                                                ShortIf this coding was chosen directly by the user
                                                                                Comments

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

                                                                                Control0..1
                                                                                Typeboolean
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

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

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                236. Composition.section.section.section.code.text
                                                                                Definition

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

                                                                                ShortPlain text representation of the concept
                                                                                Comments

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

                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                238. Composition.section.section.section.author
                                                                                Definition

                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                ShortWho and/or what authored the section
                                                                                Control0..*
                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Identifies who is responsible for the content.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                240. Composition.section.section.section.focus
                                                                                Definition

                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                Comments

                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                Control0..1
                                                                                TypeReference(Resource)
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                242. Composition.section.section.section.text
                                                                                Definition

                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                ShortText summary of the section, for human interpretation
                                                                                Comments

                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: cmp-1
                                                                                TypeNarrative
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                244. Composition.section.section.section.orderedBy
                                                                                Definition

                                                                                Specifies the order applied to the items in the section entries.

                                                                                ShortOrder of section entries
                                                                                Comments

                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                Control0..1
                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                What order applies to the items in the entry.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                246. Composition.section.section.section.entry
                                                                                Definition

                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                ShortA reference to data that supports this section
                                                                                Comments

                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                Control0..*
                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                TypeReference(Resource)
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                248. Composition.section.section.section.emptyReason
                                                                                Definition

                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                ShortWhy the section is empty
                                                                                Comments

                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: cmp-2
                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                If a section is empty, why it is empty.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                250. Composition.section.section.section.section
                                                                                Definition

                                                                                A nested sub-section within this section.

                                                                                ShortNested Section
                                                                                Comments

                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                Control0..*
                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                252. Composition.section:QRD-200000029894-PACKUNGSBEILAGE
                                                                                Slice NameQRD-200000029894-PACKUNGSBEILAGE
                                                                                Definition

                                                                                The root of the sections that make up the composition.

                                                                                ShortComposition is broken into sections
                                                                                Control1..1
                                                                                TypeBackboneElement
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                254. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                256. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                258. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.modifierExtension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                Summarytrue
                                                                                Requirements

                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                Alternate Namesextensions, user content, modifiers
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                260. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.title
                                                                                Definition

                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                ShortLabel for section (e.g. for ToC)
                                                                                Comments

                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                Control1..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                Alternate Namesheader, label, caption
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                262. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code
                                                                                Definition

                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                ShortClassification of section (recommended)
                                                                                Comments

                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                Control1..1
                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                Classification of a section of a composition/document.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Must Supportfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Provides computable standardized labels to topics within the document.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                264. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typeid
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                266. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 268. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding
                                                                                  Definition

                                                                                  A reference to a code defined by a terminology system.

                                                                                  ShortCode defined by a terminology system
                                                                                  Comments

                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                  Control0..*
                                                                                  TypeCoding
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  270. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  Typeid
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  272. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 274. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.system
                                                                                    Definition

                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                    ShortIdentity of the terminology system
                                                                                    Comments

                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    276. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.version
                                                                                    Definition

                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                    ShortVersion of the system - if relevant
                                                                                    Comments

                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    278. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.code
                                                                                    Definition

                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                    ShortSymbol in syntax defined by the system
                                                                                    Control1..1
                                                                                    This element is affected by the following invariants: cod-1
                                                                                    Typecode
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to refer to a particular code in the system.

                                                                                    Pattern Value200000029894
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    280. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.display
                                                                                    Definition

                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                    ShortRepresentation defined by the system
                                                                                    Control0..1
                                                                                    This element is affected by the following invariants: cod-1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    282. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.coding.userSelected
                                                                                    Definition

                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                    ShortIf this coding was chosen directly by the user
                                                                                    Comments

                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                    Control0..1
                                                                                    Typeboolean
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    284. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.code.text
                                                                                    Definition

                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                    ShortPlain text representation of the concept
                                                                                    Comments

                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    286. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.author
                                                                                    Definition

                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                    ShortWho and/or what authored the section
                                                                                    Control0..*
                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Identifies who is responsible for the content.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    288. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.focus
                                                                                    Definition

                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                    Comments

                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                    Control0..1
                                                                                    TypeReference(Resource)
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    290. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.text
                                                                                    Definition

                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                    ShortText summary of the section, for human interpretation
                                                                                    Comments

                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                    Control0..1
                                                                                    This element is affected by the following invariants: cmp-1
                                                                                    TypeNarrative
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    292. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.orderedBy
                                                                                    Definition

                                                                                    Specifies the order applied to the items in the section entries.

                                                                                    ShortOrder of section entries
                                                                                    Comments

                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                    Control0..1
                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                    What order applies to the items in the entry.

                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    294. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.entry
                                                                                    Definition

                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                    ShortA reference to data that supports this section
                                                                                    Comments

                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                    Control0..*
                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                    TypeReference(Resource)
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    296. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.emptyReason
                                                                                    Definition

                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                    ShortWhy the section is empty
                                                                                    Comments

                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                    Control0..1
                                                                                    This element is affected by the following invariants: cmp-2
                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                    If a section is empty, why it is empty.

                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    298. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section
                                                                                    Definition

                                                                                    Nested Sections sub-section headings for level 2.

                                                                                    ShortNested sub-section headings for level 2
                                                                                    Comments

                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                    Control6..*
                                                                                    TypeBackboneElement
                                                                                    Is Modifierfalse
                                                                                    Must Supportfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    SlicingThis element introduces a set of slices on Composition.section.section. The slices areOrdered and Closed, and can be differentiated using the following discriminators:
                                                                                    • value @ code.coding.system
                                                                                    • value @ code.coding.code
                                                                                    • 300. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      302. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      304. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.modifierExtension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      306. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.title
                                                                                      Definition

                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                      Comments

                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supportfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                      Alternate Namesheader, label, caption
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      308. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code
                                                                                      Definition

                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                      ShortClassification of section (recommended)
                                                                                      Comments

                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                      Control1..1
                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                      Classification of a section of a composition/document.

                                                                                      TypeCodeableConcept
                                                                                      Is Modifierfalse
                                                                                      Must Supportfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Provides computable standardized labels to topics within the document.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      310. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      Typeid
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      312. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 314. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding
                                                                                        Definition

                                                                                        A reference to a code defined by a terminology system.

                                                                                        ShortCode defined by a terminology system
                                                                                        Comments

                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                        Control1..1
                                                                                        TypeCoding
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        316. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        Typeid
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        318. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.extension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 320. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.system
                                                                                          Definition

                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                          ShortIdentity of the terminology system
                                                                                          Comments

                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          322. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.version
                                                                                          Definition

                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                          ShortVersion of the system - if relevant
                                                                                          Comments

                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          324. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.code
                                                                                          Definition

                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                          ShortSymbol in syntax defined by the system
                                                                                          Control1..1
                                                                                          This element is affected by the following invariants: cod-1
                                                                                          Typecode
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to refer to a particular code in the system.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          326. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.display
                                                                                          Definition

                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                          ShortRepresentation defined by the system
                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: cod-1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          328. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.coding.userSelected
                                                                                          Definition

                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                          ShortIf this coding was chosen directly by the user
                                                                                          Comments

                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                          Control0..1
                                                                                          Typeboolean
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          330. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.code.text
                                                                                          Definition

                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                          ShortPlain text representation of the concept
                                                                                          Comments

                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          332. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.author
                                                                                          Definition

                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                          ShortWho and/or what authored the section
                                                                                          Control0..*
                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          Identifies who is responsible for the content.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          334. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.focus
                                                                                          Definition

                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                          Comments

                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                          Control0..1
                                                                                          TypeReference(Resource)
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          336. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.text
                                                                                          Definition

                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                          ShortText summary of the section, for human interpretation
                                                                                          Comments

                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: cmp-1
                                                                                          TypeNarrative
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          338. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.orderedBy
                                                                                          Definition

                                                                                          Specifies the order applied to the items in the section entries.

                                                                                          ShortOrder of section entries
                                                                                          Comments

                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                          Control0..1
                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                          What order applies to the items in the entry.

                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          340. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.entry
                                                                                          Definition

                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                          ShortA reference to data that supports this section
                                                                                          Comments

                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                          Control0..*
                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                          TypeReference(Resource)
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          342. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.emptyReason
                                                                                          Definition

                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                          ShortWhy the section is empty
                                                                                          Comments

                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: cmp-2
                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                          If a section is empty, why it is empty.

                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          344. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section
                                                                                          Definition

                                                                                          Nested Sections sub-section headings for level 3.

                                                                                          ShortNested sub-section headings for level 3.
                                                                                          Comments

                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                          Control0..*
                                                                                          TypeBackboneElement
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          346. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          348. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          350. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.modifierExtension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          352. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.title
                                                                                          Definition

                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                          Comments

                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                          Alternate Namesheader, label, caption
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          354. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code
                                                                                          Definition

                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                          ShortClassification of section (recommended)
                                                                                          Comments

                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                          Control1..1
                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                          Classification of a section of a composition/document.

                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Must Supportfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          Provides computable standardized labels to topics within the document.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          356. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          Typeid
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          358. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 360. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding
                                                                                            Definition

                                                                                            A reference to a code defined by a terminology system.

                                                                                            ShortCode defined by a terminology system
                                                                                            Comments

                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                            Control1..1
                                                                                            TypeCoding
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            362. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            This element is affected by the following invariants: ele-1
                                                                                            Typeid
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            364. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.extension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 366. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.system
                                                                                              Definition

                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                              ShortIdentity of the terminology system
                                                                                              Comments

                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                              Control1..1
                                                                                              Typeuri
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              368. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.version
                                                                                              Definition

                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                              ShortVersion of the system - if relevant
                                                                                              Comments

                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              370. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.code
                                                                                              Definition

                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                              ShortSymbol in syntax defined by the system
                                                                                              Control1..1
                                                                                              This element is affected by the following invariants: cod-1
                                                                                              Typecode
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Need to refer to a particular code in the system.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              372. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.display
                                                                                              Definition

                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                              ShortRepresentation defined by the system
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: cod-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              374. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.coding.userSelected
                                                                                              Definition

                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                              ShortIf this coding was chosen directly by the user
                                                                                              Comments

                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                              Control0..1
                                                                                              Typeboolean
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              376. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.code.text
                                                                                              Definition

                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                              ShortPlain text representation of the concept
                                                                                              Comments

                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              378. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.author
                                                                                              Definition

                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                              ShortWho and/or what authored the section
                                                                                              Control0..*
                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              Identifies who is responsible for the content.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              380. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.focus
                                                                                              Definition

                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                              Comments

                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                              Control0..1
                                                                                              TypeReference(Resource)
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              382. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.text
                                                                                              Definition

                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                              ShortText summary of the section, for human interpretation
                                                                                              Comments

                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: cmp-1
                                                                                              TypeNarrative
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              384. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.orderedBy
                                                                                              Definition

                                                                                              Specifies the order applied to the items in the section entries.

                                                                                              ShortOrder of section entries
                                                                                              Comments

                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                              Control0..1
                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                              What order applies to the items in the entry.

                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              386. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.entry
                                                                                              Definition

                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                              ShortA reference to data that supports this section
                                                                                              Comments

                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                              Control0..*
                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                              TypeReference(Resource)
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              388. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.emptyReason
                                                                                              Definition

                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                              ShortWhy the section is empty
                                                                                              Comments

                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: cmp-2
                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                              If a section is empty, why it is empty.

                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              390. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section.section.section
                                                                                              Definition

                                                                                              A nested sub-section within this section.

                                                                                              ShortNested Section
                                                                                              Comments

                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                              Control0..*
                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              392. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
                                                                                              Slice NameQRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet
                                                                                              Definition

                                                                                              Nested Sections sub-section headings for level 2.

                                                                                              ShortNested sub-section headings for level 2
                                                                                              Comments

                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                              Control1..1
                                                                                              TypeBackboneElement
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              394. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              396. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              398. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.modifierExtension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              400. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.title
                                                                                              Definition

                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                              Comments

                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                              Control1..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                              Alternate Namesheader, label, caption
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              402. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code
                                                                                              Definition

                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                              ShortClassification of section (recommended)
                                                                                              Comments

                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                              Control1..1
                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                              Classification of a section of a composition/document.

                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              Provides computable standardized labels to topics within the document.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              404. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              Typeid
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              406. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 408. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding
                                                                                                Definition

                                                                                                A reference to a code defined by a terminology system.

                                                                                                ShortCode defined by a terminology system
                                                                                                Comments

                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                Control1..1
                                                                                                TypeCoding
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                410. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                This element is affected by the following invariants: ele-1
                                                                                                Typeid
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                412. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.extension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ url
                                                                                                • 414. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.system
                                                                                                  Definition

                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                  ShortIdentity of the terminology system
                                                                                                  Comments

                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  416. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.version
                                                                                                  Definition

                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                  ShortVersion of the system - if relevant
                                                                                                  Comments

                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  418. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.code
                                                                                                  Definition

                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                  Control1..1
                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                  Typecode
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to refer to a particular code in the system.

                                                                                                  Pattern Value200000029895
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  420. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.display
                                                                                                  Definition

                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                  ShortRepresentation defined by the system
                                                                                                  Control0..1
                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  422. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.coding.userSelected
                                                                                                  Definition

                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                  Comments

                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                  Control0..1
                                                                                                  Typeboolean
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  424. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.code.text
                                                                                                  Definition

                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                  ShortPlain text representation of the concept
                                                                                                  Comments

                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  426. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.author
                                                                                                  Definition

                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                  ShortWho and/or what authored the section
                                                                                                  Control0..*
                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Identifies who is responsible for the content.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  428. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.focus
                                                                                                  Definition

                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                  Comments

                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                  Control0..1
                                                                                                  TypeReference(Resource)
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  430. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.text
                                                                                                  Definition

                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                  Comments

                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                  Control0..1
                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                  TypeNarrative
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  432. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.orderedBy
                                                                                                  Definition

                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                  ShortOrder of section entries
                                                                                                  Comments

                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                  Control0..1
                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                  What order applies to the items in the entry.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  434. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.entry
                                                                                                  Definition

                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                  ShortA reference to data that supports this section
                                                                                                  Comments

                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                  Control0..*
                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                  TypeReference(Resource)
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  436. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.emptyReason
                                                                                                  Definition

                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                  ShortWhy the section is empty
                                                                                                  Comments

                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                  Control0..1
                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                  If a section is empty, why it is empty.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Requirements

                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  438. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section
                                                                                                  Definition

                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                  Comments

                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                  Control0..*
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Must Supportfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                  • value @ code.coding.system
                                                                                                  • value @ code.coding.code
                                                                                                  • 440. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    442. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    444. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.modifierExtension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    446. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.title
                                                                                                    Definition

                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                    Comments

                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supportfalse
                                                                                                    Summaryfalse
                                                                                                    Requirements

                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                    Alternate Namesheader, label, caption
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    448. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code
                                                                                                    Definition

                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                    ShortClassification of section (recommended)
                                                                                                    Comments

                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                    Control1..1
                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                    Classification of a section of a composition/document.

                                                                                                    TypeCodeableConcept
                                                                                                    Is Modifierfalse
                                                                                                    Must Supportfalse
                                                                                                    Summaryfalse
                                                                                                    Requirements

                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    450. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                    Typeid
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    452. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 454. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding
                                                                                                      Definition

                                                                                                      A reference to a code defined by a terminology system.

                                                                                                      ShortCode defined by a terminology system
                                                                                                      Comments

                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                      Control1..1
                                                                                                      TypeCoding
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      456. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                      Typeid
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      458. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 460. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.system
                                                                                                        Definition

                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                        ShortIdentity of the terminology system
                                                                                                        Comments

                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                        Control1..1
                                                                                                        Typeuri
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        462. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.version
                                                                                                        Definition

                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                        ShortVersion of the system - if relevant
                                                                                                        Comments

                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        464. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.code
                                                                                                        Definition

                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                        Control1..1
                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                        Typecode
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to refer to a particular code in the system.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        466. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.display
                                                                                                        Definition

                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                        ShortRepresentation defined by the system
                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        468. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.coding.userSelected
                                                                                                        Definition

                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                        Comments

                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                        Control0..1
                                                                                                        Typeboolean
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        470. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.code.text
                                                                                                        Definition

                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                        ShortPlain text representation of the concept
                                                                                                        Comments

                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        472. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.author
                                                                                                        Definition

                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                        ShortWho and/or what authored the section
                                                                                                        Control0..*
                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Requirements

                                                                                                        Identifies who is responsible for the content.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        474. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.focus
                                                                                                        Definition

                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                        Comments

                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                        Control0..1
                                                                                                        TypeReference(Resource)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        476. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.text
                                                                                                        Definition

                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                        Comments

                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                        TypeNarrative
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        478. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.orderedBy
                                                                                                        Definition

                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                        ShortOrder of section entries
                                                                                                        Comments

                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                        Control0..1
                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                        What order applies to the items in the entry.

                                                                                                        TypeCodeableConcept
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Requirements

                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        480. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.entry
                                                                                                        Definition

                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                        ShortA reference to data that supports this section
                                                                                                        Comments

                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                        Control0..*
                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                        TypeReference(Resource)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        482. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.emptyReason
                                                                                                        Definition

                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                        ShortWhy the section is empty
                                                                                                        Comments

                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                        If a section is empty, why it is empty.

                                                                                                        TypeCodeableConcept
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Requirements

                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        484. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section.section
                                                                                                        Definition

                                                                                                        A nested sub-section within this section.

                                                                                                        ShortNested Section
                                                                                                        Comments

                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                        Control0..*
                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        486. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections
                                                                                                        Slice NameQRD-200000029895-Blanksubsections
                                                                                                        Definition

                                                                                                        Nested Sections sub-section headings for level 3.

                                                                                                        ShortNested sub-section headings for level 3.
                                                                                                        Comments

                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                        Control0..*
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        488. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        490. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        492. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.modifierExtension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        494. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.title
                                                                                                        Definition

                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                        Comments

                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                        Control1..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Requirements

                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                        Alternate Namesheader, label, caption
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        496. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code
                                                                                                        Definition

                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                        ShortClassification of section (recommended)
                                                                                                        Comments

                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                        Control1..1
                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                        Classification of a section of a composition/document.

                                                                                                        TypeCodeableConcept
                                                                                                        Is Modifierfalse
                                                                                                        Must Supportfalse
                                                                                                        Summaryfalse
                                                                                                        Requirements

                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        498. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                        Typeid
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        500. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 502. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding
                                                                                                          Definition

                                                                                                          A reference to a code defined by a terminology system.

                                                                                                          ShortCode defined by a terminology system
                                                                                                          Comments

                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                          Control1..1
                                                                                                          TypeCoding
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          504. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                          Typeid
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          506. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.extension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Alternate Namesextensions, user content
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 508. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.system
                                                                                                            Definition

                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                            ShortIdentity of the terminology system
                                                                                                            Comments

                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            510. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.version
                                                                                                            Definition

                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                            ShortVersion of the system - if relevant
                                                                                                            Comments

                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            512. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.code
                                                                                                            Definition

                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                            Control1..1
                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                            Typecode
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to refer to a particular code in the system.

                                                                                                            Pattern Value200000044346
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            514. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.display
                                                                                                            Definition

                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                            ShortRepresentation defined by the system
                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            516. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.coding.userSelected
                                                                                                            Definition

                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                            Comments

                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                            Control0..1
                                                                                                            Typeboolean
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            518. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.code.text
                                                                                                            Definition

                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                            ShortPlain text representation of the concept
                                                                                                            Comments

                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            520. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.author
                                                                                                            Definition

                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                            ShortWho and/or what authored the section
                                                                                                            Control0..*
                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Identifies who is responsible for the content.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            522. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.focus
                                                                                                            Definition

                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                            Comments

                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                            Control0..1
                                                                                                            TypeReference(Resource)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            524. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.text
                                                                                                            Definition

                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                            Comments

                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                            TypeNarrative
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            526. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.orderedBy
                                                                                                            Definition

                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                            ShortOrder of section entries
                                                                                                            Comments

                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                            Control0..1
                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                            What order applies to the items in the entry.

                                                                                                            TypeCodeableConcept
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            528. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.entry
                                                                                                            Definition

                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                            ShortA reference to data that supports this section
                                                                                                            Comments

                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                            Control0..*
                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                            TypeReference(Resource)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            530. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.emptyReason
                                                                                                            Definition

                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                            ShortWhy the section is empty
                                                                                                            Comments

                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                            If a section is empty, why it is empty.

                                                                                                            TypeCodeableConcept
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            532. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029895-1--Was-ist-X-und-wofür-wird-es-angewendet.section:QRD-200000029895-Blanksubsections.section
                                                                                                            Definition

                                                                                                            A nested sub-section within this section.

                                                                                                            ShortNested Section
                                                                                                            Comments

                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                            Control0..*
                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            534. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
                                                                                                            Slice NameQRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten
                                                                                                            Definition

                                                                                                            Nested Sections sub-section headings for level 2.

                                                                                                            ShortNested sub-section headings for level 2
                                                                                                            Comments

                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                            Control1..1
                                                                                                            TypeBackboneElement
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            536. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            538. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            540. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.modifierExtension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            542. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.title
                                                                                                            Definition

                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                            Comments

                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                            Control1..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                            Alternate Namesheader, label, caption
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            544. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code
                                                                                                            Definition

                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                            ShortClassification of section (recommended)
                                                                                                            Comments

                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                            Control1..1
                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                            Classification of a section of a composition/document.

                                                                                                            TypeCodeableConcept
                                                                                                            Is Modifierfalse
                                                                                                            Must Supportfalse
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            546. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                            Typeid
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            548. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 550. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding
                                                                                                              Definition

                                                                                                              A reference to a code defined by a terminology system.

                                                                                                              ShortCode defined by a terminology system
                                                                                                              Comments

                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                              Control1..1
                                                                                                              TypeCoding
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              552. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                              Typeid
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              554. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 556. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.system
                                                                                                                Definition

                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                ShortIdentity of the terminology system
                                                                                                                Comments

                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                Control1..1
                                                                                                                Typeuri
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                558. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.version
                                                                                                                Definition

                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                ShortVersion of the system - if relevant
                                                                                                                Comments

                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                560. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.code
                                                                                                                Definition

                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                Control1..1
                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                Typecode
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Need to refer to a particular code in the system.

                                                                                                                Pattern Value200000029896
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                562. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.display
                                                                                                                Definition

                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                ShortRepresentation defined by the system
                                                                                                                Control0..1
                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                564. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.coding.userSelected
                                                                                                                Definition

                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                Comments

                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                Control0..1
                                                                                                                Typeboolean
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                566. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.code.text
                                                                                                                Definition

                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                ShortPlain text representation of the concept
                                                                                                                Comments

                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                568. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.author
                                                                                                                Definition

                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                ShortWho and/or what authored the section
                                                                                                                Control0..*
                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Requirements

                                                                                                                Identifies who is responsible for the content.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                570. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.focus
                                                                                                                Definition

                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                Comments

                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                Control0..1
                                                                                                                TypeReference(Resource)
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                572. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.text
                                                                                                                Definition

                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                Comments

                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                Control0..1
                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                TypeNarrative
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                574. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.orderedBy
                                                                                                                Definition

                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                ShortOrder of section entries
                                                                                                                Comments

                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                What order applies to the items in the entry.

                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Requirements

                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                576. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.entry
                                                                                                                Definition

                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                ShortA reference to data that supports this section
                                                                                                                Comments

                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                Control0..*
                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                TypeReference(Resource)
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                578. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.emptyReason
                                                                                                                Definition

                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                ShortWhy the section is empty
                                                                                                                Comments

                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                Control0..1
                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                If a section is empty, why it is empty.

                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Requirements

                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                580. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section
                                                                                                                Definition

                                                                                                                Nested Sections sub-section headings for level 3.

                                                                                                                ShortNested sub-section headings for level 3.
                                                                                                                Comments

                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                Control0..*
                                                                                                                TypeBackboneElement
                                                                                                                Is Modifierfalse
                                                                                                                Must Supportfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                • value @ code.coding.system
                                                                                                                • value @ code.coding.code
                                                                                                                • 582. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  584. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  586. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.modifierExtension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  588. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.title
                                                                                                                  Definition

                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                  Comments

                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  590. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code
                                                                                                                  Definition

                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                  ShortClassification of section (recommended)
                                                                                                                  Comments

                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                  Control1..1
                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                  Classification of a section of a composition/document.

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supportfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  592. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  Typeid
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  594. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 596. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding
                                                                                                                    Definition

                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                    ShortCode defined by a terminology system
                                                                                                                    Comments

                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                    Control1..1
                                                                                                                    TypeCoding
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    598. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    Typeid
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    600. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 602. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.system
                                                                                                                      Definition

                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                      ShortIdentity of the terminology system
                                                                                                                      Comments

                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                      Control1..1
                                                                                                                      Typeuri
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      604. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.version
                                                                                                                      Definition

                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                      Comments

                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      606. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.code
                                                                                                                      Definition

                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                      Control1..1
                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                      Typecode
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      608. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.display
                                                                                                                      Definition

                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                      ShortRepresentation defined by the system
                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      610. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.coding.userSelected
                                                                                                                      Definition

                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                      Comments

                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                      Control0..1
                                                                                                                      Typeboolean
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      612. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.code.text
                                                                                                                      Definition

                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                      ShortPlain text representation of the concept
                                                                                                                      Comments

                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      614. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.author
                                                                                                                      Definition

                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                      ShortWho and/or what authored the section
                                                                                                                      Control0..*
                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Requirements

                                                                                                                      Identifies who is responsible for the content.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      616. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.focus
                                                                                                                      Definition

                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                      Comments

                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                      Control0..1
                                                                                                                      TypeReference(Resource)
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      618. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.text
                                                                                                                      Definition

                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                      Comments

                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                      TypeNarrative
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      620. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.orderedBy
                                                                                                                      Definition

                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                      ShortOrder of section entries
                                                                                                                      Comments

                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                      Control0..1
                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                      What order applies to the items in the entry.

                                                                                                                      TypeCodeableConcept
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Requirements

                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      622. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.entry
                                                                                                                      Definition

                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                      ShortA reference to data that supports this section
                                                                                                                      Comments

                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                      Control0..*
                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                      TypeReference(Resource)
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      624. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.emptyReason
                                                                                                                      Definition

                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                      ShortWhy the section is empty
                                                                                                                      Comments

                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                      If a section is empty, why it is empty.

                                                                                                                      TypeCodeableConcept
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Requirements

                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      626. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section.section
                                                                                                                      Definition

                                                                                                                      A nested sub-section within this section.

                                                                                                                      ShortNested Section
                                                                                                                      Comments

                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                      Control0..*
                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      628. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections
                                                                                                                      Slice NameQRD-200000029896-Blanksubsections
                                                                                                                      Definition

                                                                                                                      Nested Sections sub-section headings for level 3.

                                                                                                                      ShortNested sub-section headings for level 3.
                                                                                                                      Comments

                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                      Control0..*
                                                                                                                      TypeBackboneElement
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      630. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      632. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      634. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.modifierExtension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      636. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.title
                                                                                                                      Definition

                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                      Comments

                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                      Control1..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Requirements

                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      638. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code
                                                                                                                      Definition

                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                      ShortClassification of section (recommended)
                                                                                                                      Comments

                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                      Control1..1
                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                      Classification of a section of a composition/document.

                                                                                                                      TypeCodeableConcept
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supportfalse
                                                                                                                      Summaryfalse
                                                                                                                      Requirements

                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      640. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                      Typeid
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      642. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 644. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding
                                                                                                                        Definition

                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                        ShortCode defined by a terminology system
                                                                                                                        Comments

                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                        Control1..1
                                                                                                                        TypeCoding
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        646. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.id
                                                                                                                        Definition

                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                        Control0..1
                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                        Typeid
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        648. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.extension
                                                                                                                        Definition

                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                        Comments

                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Alternate Namesextensions, user content
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                        • value @ url
                                                                                                                        • 650. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.system
                                                                                                                          Definition

                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                          ShortIdentity of the terminology system
                                                                                                                          Comments

                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                          Control1..1
                                                                                                                          Typeuri
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          652. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.version
                                                                                                                          Definition

                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                          Comments

                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          654. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.code
                                                                                                                          Definition

                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                          Control1..1
                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                          Typecode
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                          Pattern Value200000044346
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          656. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.display
                                                                                                                          Definition

                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                          ShortRepresentation defined by the system
                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          658. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.coding.userSelected
                                                                                                                          Definition

                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                          Comments

                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                          Control0..1
                                                                                                                          Typeboolean
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          660. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.code.text
                                                                                                                          Definition

                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                          ShortPlain text representation of the concept
                                                                                                                          Comments

                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          662. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.author
                                                                                                                          Definition

                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                          ShortWho and/or what authored the section
                                                                                                                          Control0..*
                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Identifies who is responsible for the content.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          664. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.focus
                                                                                                                          Definition

                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                          Comments

                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                          Control0..1
                                                                                                                          TypeReference(Resource)
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          666. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.text
                                                                                                                          Definition

                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                          Comments

                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                          TypeNarrative
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          668. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.orderedBy
                                                                                                                          Definition

                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                          ShortOrder of section entries
                                                                                                                          Comments

                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                          Control0..1
                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                          What order applies to the items in the entry.

                                                                                                                          TypeCodeableConcept
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          670. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.entry
                                                                                                                          Definition

                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                          ShortA reference to data that supports this section
                                                                                                                          Comments

                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                          Control0..*
                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                          TypeReference(Resource)
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          672. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.emptyReason
                                                                                                                          Definition

                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                          ShortWhy the section is empty
                                                                                                                          Comments

                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                          If a section is empty, why it is empty.

                                                                                                                          TypeCodeableConcept
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          674. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029896-Blanksubsections.section
                                                                                                                          Definition

                                                                                                                          A nested sub-section within this section.

                                                                                                                          ShortNested Section
                                                                                                                          Comments

                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                          Control0..*
                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          676. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
                                                                                                                          Slice NameQRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein
                                                                                                                          Definition

                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                          Comments

                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                          Control0..1
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          678. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          680. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          682. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.modifierExtension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          684. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.title
                                                                                                                          Definition

                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                          Comments

                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                          Control1..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          686. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code
                                                                                                                          Definition

                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                          ShortClassification of section (recommended)
                                                                                                                          Comments

                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                          Control1..1
                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                          Classification of a section of a composition/document.

                                                                                                                          TypeCodeableConcept
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supportfalse
                                                                                                                          Summaryfalse
                                                                                                                          Requirements

                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          688. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          Typeid
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          690. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 692. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding
                                                                                                                            Definition

                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                            ShortCode defined by a terminology system
                                                                                                                            Comments

                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                            Control1..1
                                                                                                                            TypeCoding
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            694. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                            Typeid
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            696. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.extension
                                                                                                                            Definition

                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                            Comments

                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                            Control0..*
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Alternate Namesextensions, user content
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 698. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.system
                                                                                                                              Definition

                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                              ShortIdentity of the terminology system
                                                                                                                              Comments

                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              700. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.version
                                                                                                                              Definition

                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                              Comments

                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              702. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.code
                                                                                                                              Definition

                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                              Typecode
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                              Pattern Value200000029897
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              704. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.display
                                                                                                                              Definition

                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                              ShortRepresentation defined by the system
                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              706. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.coding.userSelected
                                                                                                                              Definition

                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                              Comments

                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                              Control0..1
                                                                                                                              Typeboolean
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              708. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.code.text
                                                                                                                              Definition

                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                              ShortPlain text representation of the concept
                                                                                                                              Comments

                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              710. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.author
                                                                                                                              Definition

                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                              ShortWho and/or what authored the section
                                                                                                                              Control0..*
                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Identifies who is responsible for the content.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              712. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.focus
                                                                                                                              Definition

                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                              Comments

                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                              Control0..1
                                                                                                                              TypeReference(Resource)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              714. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.text
                                                                                                                              Definition

                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                              Comments

                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                              TypeNarrative
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              716. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.orderedBy
                                                                                                                              Definition

                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                              ShortOrder of section entries
                                                                                                                              Comments

                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                              Control0..1
                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                              What order applies to the items in the entry.

                                                                                                                              TypeCodeableConcept
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              718. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.entry
                                                                                                                              Definition

                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                              ShortA reference to data that supports this section
                                                                                                                              Comments

                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                              Control0..*
                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                              TypeReference(Resource)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              720. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.emptyReason
                                                                                                                              Definition

                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                              ShortWhy the section is empty
                                                                                                                              Comments

                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                              If a section is empty, why it is empty.

                                                                                                                              TypeCodeableConcept
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              722. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029897-Nehmen-wenden-Sie-X-nicht-an-ein.section
                                                                                                                              Definition

                                                                                                                              A nested sub-section within this section.

                                                                                                                              ShortNested Section
                                                                                                                              Comments

                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                              Control0..*
                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              724. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
                                                                                                                              Slice NameQRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen
                                                                                                                              Definition

                                                                                                                              Nested Sections sub-section headings for level 3.

                                                                                                                              ShortNested sub-section headings for level 3.
                                                                                                                              Comments

                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                              Control0..1
                                                                                                                              TypeBackboneElement
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              726. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              728. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.extension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                              Comments

                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Alternate Namesextensions, user content
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              730. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.modifierExtension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                              Comments

                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              732. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.title
                                                                                                                              Definition

                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                              Comments

                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                              Control1..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              734. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code
                                                                                                                              Definition

                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                              ShortClassification of section (recommended)
                                                                                                                              Comments

                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                              Control1..1
                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                              Classification of a section of a composition/document.

                                                                                                                              TypeCodeableConcept
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supportfalse
                                                                                                                              Summaryfalse
                                                                                                                              Requirements

                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              736. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                              Typeid
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              738. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.extension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                              Comments

                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Alternate Namesextensions, user content
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                              • value @ url
                                                                                                                              • 740. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding
                                                                                                                                Definition

                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                Comments

                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                Control1..1
                                                                                                                                TypeCoding
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                742. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                Typeid
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                744. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 746. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.system
                                                                                                                                  Definition

                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                  Comments

                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  748. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.version
                                                                                                                                  Definition

                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                  Comments

                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  750. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.code
                                                                                                                                  Definition

                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                  Control1..1
                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                  Typecode
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                  Pattern Value200000029898
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  752. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.display
                                                                                                                                  Definition

                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  754. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.coding.userSelected
                                                                                                                                  Definition

                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                  Comments

                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                  Control0..1
                                                                                                                                  Typeboolean
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  756. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.code.text
                                                                                                                                  Definition

                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                  Comments

                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  758. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.author
                                                                                                                                  Definition

                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                  Control0..*
                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Requirements

                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  760. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.focus
                                                                                                                                  Definition

                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                  Comments

                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                  Control0..1
                                                                                                                                  TypeReference(Resource)
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  762. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.text
                                                                                                                                  Definition

                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                  Comments

                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                  TypeNarrative
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  764. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.orderedBy
                                                                                                                                  Definition

                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                  ShortOrder of section entries
                                                                                                                                  Comments

                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                  Control0..1
                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                  TypeCodeableConcept
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Requirements

                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  766. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.entry
                                                                                                                                  Definition

                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                  Comments

                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                  Control0..*
                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                  TypeReference(Resource)
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  768. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.emptyReason
                                                                                                                                  Definition

                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                  ShortWhy the section is empty
                                                                                                                                  Comments

                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                  TypeCodeableConcept
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Requirements

                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  770. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029898-Warnhinweise-und-Vorsichtsmaßnahmen.section
                                                                                                                                  Definition

                                                                                                                                  A nested sub-section within this section.

                                                                                                                                  ShortNested Section
                                                                                                                                  Comments

                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                  Control0..*
                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  772. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche
                                                                                                                                  Slice NameQRD-200000029899-Kinder-und-Jugendliche
                                                                                                                                  Definition

                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                  Comments

                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                  Control0..1
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  774. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  776. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  778. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.modifierExtension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  780. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.title
                                                                                                                                  Definition

                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                  Comments

                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                  Control1..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Requirements

                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  782. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code
                                                                                                                                  Definition

                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                  Comments

                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                  Control1..1
                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                  TypeCodeableConcept
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supportfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Requirements

                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  784. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                  Typeid
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  786. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 788. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding
                                                                                                                                    Definition

                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                    Comments

                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                    Control1..1
                                                                                                                                    TypeCoding
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    790. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    Typeid
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    792. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 794. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.system
                                                                                                                                      Definition

                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                      Comments

                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                      Control1..1
                                                                                                                                      Typeuri
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      796. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.version
                                                                                                                                      Definition

                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                      Comments

                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      798. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.code
                                                                                                                                      Definition

                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                      Control1..1
                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                      Typecode
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                      Pattern Value200000029899
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      800. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.display
                                                                                                                                      Definition

                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      802. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.coding.userSelected
                                                                                                                                      Definition

                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                      Comments

                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                      Control0..1
                                                                                                                                      Typeboolean
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      804. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.code.text
                                                                                                                                      Definition

                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                      Comments

                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      806. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.author
                                                                                                                                      Definition

                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                      Control0..*
                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Requirements

                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      808. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.focus
                                                                                                                                      Definition

                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                      Comments

                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                      Control0..1
                                                                                                                                      TypeReference(Resource)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      810. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.text
                                                                                                                                      Definition

                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                      Comments

                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                      TypeNarrative
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      812. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.orderedBy
                                                                                                                                      Definition

                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                      ShortOrder of section entries
                                                                                                                                      Comments

                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                      Control0..1
                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                      TypeCodeableConcept
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Requirements

                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      814. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.entry
                                                                                                                                      Definition

                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                      Comments

                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                      Control0..*
                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                      TypeReference(Resource)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      816. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.emptyReason
                                                                                                                                      Definition

                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                      ShortWhy the section is empty
                                                                                                                                      Comments

                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                      TypeCodeableConcept
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Requirements

                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      818. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029899-Kinder-und-Jugendliche.section
                                                                                                                                      Definition

                                                                                                                                      A nested sub-section within this section.

                                                                                                                                      ShortNested Section
                                                                                                                                      Comments

                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                      Control0..*
                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      820. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
                                                                                                                                      Slice NameQRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln
                                                                                                                                      Definition

                                                                                                                                      Nested Sections sub-section headings for level 3.

                                                                                                                                      ShortNested sub-section headings for level 3.
                                                                                                                                      Comments

                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                      Control0..1
                                                                                                                                      TypeBackboneElement
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      822. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      824. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.extension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                      Comments

                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      826. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.modifierExtension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                      Comments

                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      828. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.title
                                                                                                                                      Definition

                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                      Comments

                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                      Control1..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Requirements

                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      830. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code
                                                                                                                                      Definition

                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                      Comments

                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                      Control1..1
                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                      TypeCodeableConcept
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supportfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Requirements

                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      832. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                      Typeid
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      834. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.extension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                      Comments

                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 836. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding
                                                                                                                                        Definition

                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                        Comments

                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                        Control1..1
                                                                                                                                        TypeCoding
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        838. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.id
                                                                                                                                        Definition

                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                        Control0..1
                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                        Typeid
                                                                                                                                        Is Modifierfalse
                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                        Summaryfalse
                                                                                                                                        840. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.extension
                                                                                                                                        Definition

                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                        Comments

                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                        Control0..*
                                                                                                                                        TypeExtension
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summaryfalse
                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ url
                                                                                                                                        • 842. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.system
                                                                                                                                          Definition

                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                          Comments

                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                          Control1..1
                                                                                                                                          Typeuri
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          844. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.version
                                                                                                                                          Definition

                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                          Comments

                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          846. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.code
                                                                                                                                          Definition

                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                          Control1..1
                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                          Typecode
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                          Pattern Value200000029900
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          848. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.display
                                                                                                                                          Definition

                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          850. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.coding.userSelected
                                                                                                                                          Definition

                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                          Comments

                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                          Control0..1
                                                                                                                                          Typeboolean
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          852. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.code.text
                                                                                                                                          Definition

                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                          Comments

                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          854. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.author
                                                                                                                                          Definition

                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                          Control0..*
                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          856. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.focus
                                                                                                                                          Definition

                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                          Comments

                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                          Control0..1
                                                                                                                                          TypeReference(Resource)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          858. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.text
                                                                                                                                          Definition

                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                          Comments

                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                          TypeNarrative
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          860. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.orderedBy
                                                                                                                                          Definition

                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                          ShortOrder of section entries
                                                                                                                                          Comments

                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                          Control0..1
                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                          TypeCodeableConcept
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          862. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.entry
                                                                                                                                          Definition

                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                          Comments

                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                          Control0..*
                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                          TypeReference(Resource)
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          864. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.emptyReason
                                                                                                                                          Definition

                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                          ShortWhy the section is empty
                                                                                                                                          Comments

                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                          TypeCodeableConcept
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          866. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029900-Einnahme-Anwendung-von-X-zusammen-mit-anderen-Arzneimitteln.section
                                                                                                                                          Definition

                                                                                                                                          A nested sub-section within this section.

                                                                                                                                          ShortNested Section
                                                                                                                                          Comments

                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                          Control0..*
                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          868. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
                                                                                                                                          Slice NameQRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit
                                                                                                                                          Definition

                                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                                          Comments

                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                          Control0..1
                                                                                                                                          TypeBackboneElement
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          870. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          872. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          874. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.modifierExtension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          876. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.title
                                                                                                                                          Definition

                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                          Comments

                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          878. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code
                                                                                                                                          Definition

                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                          Comments

                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                          Control1..1
                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                          TypeCodeableConcept
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supportfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Requirements

                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          880. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                          Typeid
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          882. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 884. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding
                                                                                                                                            Definition

                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                            Comments

                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                            Control1..1
                                                                                                                                            TypeCoding
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            886. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.id
                                                                                                                                            Definition

                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                            Control0..1
                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                            Typeid
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            888. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.extension
                                                                                                                                            Definition

                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                            Comments

                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                            Control0..*
                                                                                                                                            TypeExtension
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summaryfalse
                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                            • value @ url
                                                                                                                                            • 890. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.system
                                                                                                                                              Definition

                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                              Comments

                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                              Control1..1
                                                                                                                                              Typeuri
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              892. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.version
                                                                                                                                              Definition

                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                              Comments

                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              894. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.code
                                                                                                                                              Definition

                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                              Control1..1
                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                              Typecode
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                              Pattern Value200000029902
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              896. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.display
                                                                                                                                              Definition

                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              898. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.coding.userSelected
                                                                                                                                              Definition

                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                              Comments

                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                              Control0..1
                                                                                                                                              Typeboolean
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              900. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.code.text
                                                                                                                                              Definition

                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                              Comments

                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              902. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.author
                                                                                                                                              Definition

                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                              Control0..*
                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              904. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.focus
                                                                                                                                              Definition

                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                              Comments

                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                              Control0..1
                                                                                                                                              TypeReference(Resource)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              906. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.text
                                                                                                                                              Definition

                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                              Comments

                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                              TypeNarrative
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              908. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.orderedBy
                                                                                                                                              Definition

                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                              ShortOrder of section entries
                                                                                                                                              Comments

                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                              Control0..1
                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              910. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.entry
                                                                                                                                              Definition

                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                              Comments

                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                              Control0..*
                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                              TypeReference(Resource)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              912. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.emptyReason
                                                                                                                                              Definition

                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                              ShortWhy the section is empty
                                                                                                                                              Comments

                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              914. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029902-Schwangerschaft---Stillzeit-und-Fortpflanzungsfähigkeit.section
                                                                                                                                              Definition

                                                                                                                                              A nested sub-section within this section.

                                                                                                                                              ShortNested Section
                                                                                                                                              Comments

                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                              Control0..*
                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              916. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
                                                                                                                                              Slice NameQRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen
                                                                                                                                              Definition

                                                                                                                                              Nested Sections sub-section headings for level 3.

                                                                                                                                              ShortNested sub-section headings for level 3.
                                                                                                                                              Comments

                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                              Control0..1
                                                                                                                                              TypeBackboneElement
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              918. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              920. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.extension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                              Comments

                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              922. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.modifierExtension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                              Comments

                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              924. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.title
                                                                                                                                              Definition

                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                              Comments

                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                              Control1..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              926. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code
                                                                                                                                              Definition

                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                              Comments

                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                              Control1..1
                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                              TypeCodeableConcept
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supportfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Requirements

                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              928. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              Typeid
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              930. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.extension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                              Comments

                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                              • value @ url
                                                                                                                                              • 932. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding
                                                                                                                                                Definition

                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                Comments

                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                Control1..1
                                                                                                                                                TypeCoding
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                934. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.id
                                                                                                                                                Definition

                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                Control0..1
                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                Typeid
                                                                                                                                                Is Modifierfalse
                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                Summaryfalse
                                                                                                                                                936. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.extension
                                                                                                                                                Definition

                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                Comments

                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                Control0..*
                                                                                                                                                TypeExtension
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                • value @ url
                                                                                                                                                • 938. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.system
                                                                                                                                                  Definition

                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                  Comments

                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                  Control1..1
                                                                                                                                                  Typeuri
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  940. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.version
                                                                                                                                                  Definition

                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                  Comments

                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  942. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.code
                                                                                                                                                  Definition

                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                  Control1..1
                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                  Typecode
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                  Pattern Value200000029903
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  944. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.display
                                                                                                                                                  Definition

                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  946. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.coding.userSelected
                                                                                                                                                  Definition

                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                  Comments

                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                  Control0..1
                                                                                                                                                  Typeboolean
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  948. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.code.text
                                                                                                                                                  Definition

                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                  Comments

                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  950. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.author
                                                                                                                                                  Definition

                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                  Control0..*
                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  952. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.focus
                                                                                                                                                  Definition

                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                  Comments

                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                  Control0..1
                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  954. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.text
                                                                                                                                                  Definition

                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                  Comments

                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                  TypeNarrative
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  956. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.orderedBy
                                                                                                                                                  Definition

                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                  Comments

                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                  Control0..1
                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  958. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.entry
                                                                                                                                                  Definition

                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                  Comments

                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                  Control0..*
                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  960. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.emptyReason
                                                                                                                                                  Definition

                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                  Comments

                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  962. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029903-Verkehrstüchtigkeit-und-Fähigkeit-zum-Bedienen-von-Maschinen.section
                                                                                                                                                  Definition

                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                  ShortNested Section
                                                                                                                                                  Comments

                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  964. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
                                                                                                                                                  Slice NameQRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil
                                                                                                                                                  Definition

                                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                                  Comments

                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                  Control0..1
                                                                                                                                                  TypeBackboneElement
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  966. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.id
                                                                                                                                                  Definition

                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                  Summaryfalse
                                                                                                                                                  968. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.extension
                                                                                                                                                  Definition

                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                  Comments

                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  970. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.modifierExtension
                                                                                                                                                  Definition

                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                  Comments

                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  972. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.title
                                                                                                                                                  Definition

                                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                                  Comments

                                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                  Control1..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  974. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code
                                                                                                                                                  Definition

                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                  Comments

                                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                  Control1..1
                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supportfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Requirements

                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  976. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.id
                                                                                                                                                  Definition

                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                  Typeid
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                  Summaryfalse
                                                                                                                                                  978. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.extension
                                                                                                                                                  Definition

                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                  Comments

                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ url
                                                                                                                                                  • 980. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding
                                                                                                                                                    Definition

                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                    Comments

                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                    Control1..1
                                                                                                                                                    TypeCoding
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summarytrue
                                                                                                                                                    Requirements

                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    982. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.id
                                                                                                                                                    Definition

                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                    Control0..1
                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                    Typeid
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    984. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.extension
                                                                                                                                                    Definition

                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                    Comments

                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                    Control0..*
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                    • value @ url
                                                                                                                                                    • 986. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.system
                                                                                                                                                      Definition

                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                      Comments

                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                      Control1..1
                                                                                                                                                      Typeuri
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      988. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.version
                                                                                                                                                      Definition

                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                      Comments

                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      990. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.code
                                                                                                                                                      Definition

                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                      Control1..1
                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                      Typecode
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                      Pattern Value200000029904
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      992. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.display
                                                                                                                                                      Definition

                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      994. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.coding.userSelected
                                                                                                                                                      Definition

                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                      Comments

                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                      Control0..1
                                                                                                                                                      Typeboolean
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      996. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.code.text
                                                                                                                                                      Definition

                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                      Comments

                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      998. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.author
                                                                                                                                                      Definition

                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                      Control0..*
                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Requirements

                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1000. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.focus
                                                                                                                                                      Definition

                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                      Comments

                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                      Control0..1
                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1002. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.text
                                                                                                                                                      Definition

                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                      Comments

                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                      TypeNarrative
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1004. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.orderedBy
                                                                                                                                                      Definition

                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                      Comments

                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                      Control0..1
                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Requirements

                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1006. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.entry
                                                                                                                                                      Definition

                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                      Comments

                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                      Control0..*
                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1008. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.emptyReason
                                                                                                                                                      Definition

                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                      Comments

                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Requirements

                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1010. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029896-2--Was-sollten-Sie-vor-der-Einnahme-Anwendung-von-X-beachten.section:QRD-200000029904-X-enthält-benennen-Sie-den-sonstigen-Bestandteil.section
                                                                                                                                                      Definition

                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                      ShortNested Section
                                                                                                                                                      Comments

                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1012. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
                                                                                                                                                      Slice NameQRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden
                                                                                                                                                      Definition

                                                                                                                                                      Nested Sections sub-section headings for level 2.

                                                                                                                                                      ShortNested sub-section headings for level 2
                                                                                                                                                      Comments

                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                      Control1..1
                                                                                                                                                      TypeBackboneElement
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1014. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.id
                                                                                                                                                      Definition

                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      1016. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.extension
                                                                                                                                                      Definition

                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                      Comments

                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      1018. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.modifierExtension
                                                                                                                                                      Definition

                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                      Comments

                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      1020. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.title
                                                                                                                                                      Definition

                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                      Comments

                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                      Control1..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Requirements

                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1022. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code
                                                                                                                                                      Definition

                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                      Comments

                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                      Control1..1
                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supportfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Requirements

                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      1024. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.id
                                                                                                                                                      Definition

                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                      Typeid
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      1026. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.extension
                                                                                                                                                      Definition

                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                      Comments

                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                      Control0..*
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                      • value @ url
                                                                                                                                                      • 1028. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding
                                                                                                                                                        Definition

                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                        Comments

                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                        Control1..1
                                                                                                                                                        TypeCoding
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        1030. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.id
                                                                                                                                                        Definition

                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                        Control0..1
                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                        Typeid
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        1032. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.extension
                                                                                                                                                        Definition

                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                        Comments

                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                        Control0..*
                                                                                                                                                        TypeExtension
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                        • value @ url
                                                                                                                                                        • 1034. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.system
                                                                                                                                                          Definition

                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                          Comments

                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                          Control1..1
                                                                                                                                                          Typeuri
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1036. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.version
                                                                                                                                                          Definition

                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                          Comments

                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1038. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.code
                                                                                                                                                          Definition

                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                          Control1..1
                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                          Typecode
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                          Pattern Value200000029905
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1040. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.display
                                                                                                                                                          Definition

                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1042. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.coding.userSelected
                                                                                                                                                          Definition

                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                          Comments

                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                          Control0..1
                                                                                                                                                          Typeboolean
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1044. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.code.text
                                                                                                                                                          Definition

                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                          Comments

                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1046. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.author
                                                                                                                                                          Definition

                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                          Control0..*
                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1048. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.focus
                                                                                                                                                          Definition

                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                          Comments

                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                          Control0..1
                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1050. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.text
                                                                                                                                                          Definition

                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                          Comments

                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                          TypeNarrative
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1052. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.orderedBy
                                                                                                                                                          Definition

                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                          Comments

                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                          Control0..1
                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1054. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.entry
                                                                                                                                                          Definition

                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                          Comments

                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                          Control0..*
                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1056. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.emptyReason
                                                                                                                                                          Definition

                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                          Comments

                                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          1058. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section
                                                                                                                                                          Definition

                                                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                                                          Comments

                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeBackboneElement
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supportfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ code.coding.system
                                                                                                                                                          • value @ code.coding.code
                                                                                                                                                          • 1060. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.id
                                                                                                                                                            Definition

                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                            Control0..1
                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            1062. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.extension
                                                                                                                                                            Definition

                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                            Comments

                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            1064. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.modifierExtension
                                                                                                                                                            Definition

                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                            Comments

                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            1066. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.title
                                                                                                                                                            Definition

                                                                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                            Comments

                                                                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                            Control0..1
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Must Supportfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Requirements

                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            1068. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code
                                                                                                                                                            Definition

                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                            Comments

                                                                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                            Control1..1
                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Must Supportfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Requirements

                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            1070. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.id
                                                                                                                                                            Definition

                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                            Control0..1
                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                            Typeid
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            1072. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.extension
                                                                                                                                                            Definition

                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                            Comments

                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                            • value @ url
                                                                                                                                                            • 1074. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding
                                                                                                                                                              Definition

                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                              Comments

                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                              Control1..1
                                                                                                                                                              TypeCoding
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              1076. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.id
                                                                                                                                                              Definition

                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                              Typeid
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                              Summaryfalse
                                                                                                                                                              1078. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.extension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                              • value @ url
                                                                                                                                                              • 1080. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.system
                                                                                                                                                                Definition

                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                Comments

                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                Control1..1
                                                                                                                                                                Typeuri
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1082. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.version
                                                                                                                                                                Definition

                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                Comments

                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1084. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.code
                                                                                                                                                                Definition

                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                Control1..1
                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                Typecode
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1086. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.display
                                                                                                                                                                Definition

                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1088. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.coding.userSelected
                                                                                                                                                                Definition

                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                Comments

                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                Control0..1
                                                                                                                                                                Typeboolean
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1090. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.code.text
                                                                                                                                                                Definition

                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                Comments

                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1092. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.author
                                                                                                                                                                Definition

                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                Control0..*
                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1094. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.focus
                                                                                                                                                                Definition

                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                Comments

                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                Control0..1
                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1096. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.text
                                                                                                                                                                Definition

                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                Comments

                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                TypeNarrative
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1098. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.orderedBy
                                                                                                                                                                Definition

                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                Comments

                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                Control0..1
                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1100. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.entry
                                                                                                                                                                Definition

                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                Comments

                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                Control0..*
                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1102. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.emptyReason
                                                                                                                                                                Definition

                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                Comments

                                                                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1104. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section.section
                                                                                                                                                                Definition

                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                ShortNested Section
                                                                                                                                                                Comments

                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1106. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections
                                                                                                                                                                Slice NameQRD-200000029905-Blanksubsections
                                                                                                                                                                Definition

                                                                                                                                                                Nested Sections sub-section headings for level 3.

                                                                                                                                                                ShortNested sub-section headings for level 3.
                                                                                                                                                                Comments

                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1108. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.id
                                                                                                                                                                Definition

                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                1110. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.extension
                                                                                                                                                                Definition

                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                Comments

                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                1112. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.modifierExtension
                                                                                                                                                                Definition

                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                Comments

                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                1114. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.title
                                                                                                                                                                Definition

                                                                                                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                                                Comments

                                                                                                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                Control1..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1116. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code
                                                                                                                                                                Definition

                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                Comments

                                                                                                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                Control1..1
                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supportfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Requirements

                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                1118. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.id
                                                                                                                                                                Definition

                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                Control0..1
                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                Typeid
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                1120. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.extension
                                                                                                                                                                Definition

                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                Comments

                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                • value @ url
                                                                                                                                                                • 1122. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding
                                                                                                                                                                  Definition

                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                  Comments

                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                  Control1..1
                                                                                                                                                                  TypeCoding
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summarytrue
                                                                                                                                                                  Requirements

                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  1124. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.id
                                                                                                                                                                  Definition

                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                  Control0..1
                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                  Typeid
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  1126. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.extension
                                                                                                                                                                  Definition

                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                  Comments

                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                  Control0..*
                                                                                                                                                                  TypeExtension
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                  • value @ url
                                                                                                                                                                  • 1128. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.system
                                                                                                                                                                    Definition

                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                    Comments

                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                    Control1..1
                                                                                                                                                                    Typeuri
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1130. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.version
                                                                                                                                                                    Definition

                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                    Comments

                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1132. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.code
                                                                                                                                                                    Definition

                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                    Control1..1
                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                    Typecode
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                    Pattern Value200000044346
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1134. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.display
                                                                                                                                                                    Definition

                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1136. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.coding.userSelected
                                                                                                                                                                    Definition

                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                    Comments

                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typeboolean
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1138. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.code.text
                                                                                                                                                                    Definition

                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                    Comments

                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1140. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.author
                                                                                                                                                                    Definition

                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1142. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.focus
                                                                                                                                                                    Definition

                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                    Comments

                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1144. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.text
                                                                                                                                                                    Definition

                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                    Comments

                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                    TypeNarrative
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1146. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.orderedBy
                                                                                                                                                                    Definition

                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                    Comments

                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1148. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.entry
                                                                                                                                                                    Definition

                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                    Comments

                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1150. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.emptyReason
                                                                                                                                                                    Definition

                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                    Comments

                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1152. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029905-Blanksubsections.section
                                                                                                                                                                    Definition

                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                    ShortNested Section
                                                                                                                                                                    Comments

                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1154. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                                                                                                                                                                    Slice NameQRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol
                                                                                                                                                                    Definition

                                                                                                                                                                    Nested Sections sub-section headings for level 3.

                                                                                                                                                                    ShortNested sub-section headings for level 3.
                                                                                                                                                                    Comments

                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                    Control0..1
                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1156. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.id
                                                                                                                                                                    Definition

                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    1158. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.extension
                                                                                                                                                                    Definition

                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                    Comments

                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeExtension
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                    1160. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.modifierExtension
                                                                                                                                                                    Definition

                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                    Comments

                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeExtension
                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                    1162. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.title
                                                                                                                                                                    Definition

                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                    Comments

                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                    Control1..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1164. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code
                                                                                                                                                                    Definition

                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                    Comments

                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                    Control1..1
                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Requirements

                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    1166. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.id
                                                                                                                                                                    Definition

                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                    Typeid
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    1168. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.extension
                                                                                                                                                                    Definition

                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                    Comments

                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeExtension
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                    • value @ url
                                                                                                                                                                    • 1170. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding
                                                                                                                                                                      Definition

                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                      Comments

                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                      Control1..1
                                                                                                                                                                      TypeCoding
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      1172. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.id
                                                                                                                                                                      Definition

                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                      Control0..1
                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                      Typeid
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      1174. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.extension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                      Comments

                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                      • value @ url
                                                                                                                                                                      • 1176. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.system
                                                                                                                                                                        Definition

                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                        Comments

                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                        Control1..1
                                                                                                                                                                        Typeuri
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1178. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.version
                                                                                                                                                                        Definition

                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                        Comments

                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                        Control0..1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1180. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.code
                                                                                                                                                                        Definition

                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                        Control1..1
                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                        Typecode
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                        Pattern Value200000029901
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1182. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.display
                                                                                                                                                                        Definition

                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1184. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.coding.userSelected
                                                                                                                                                                        Definition

                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                        Comments

                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        Typeboolean
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1186. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.code.text
                                                                                                                                                                        Definition

                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                        Comments

                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1188. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.author
                                                                                                                                                                        Definition

                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Requirements

                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1190. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.focus
                                                                                                                                                                        Definition

                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                        Comments

                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1192. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.text
                                                                                                                                                                        Definition

                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                        Comments

                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                        TypeNarrative
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1194. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.orderedBy
                                                                                                                                                                        Definition

                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                        Comments

                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Requirements

                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1196. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.entry
                                                                                                                                                                        Definition

                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                        Comments

                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1198. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.emptyReason
                                                                                                                                                                        Definition

                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                        Comments

                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Requirements

                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1200. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029901-X-zusammen-mit-Nahrungsmitteln---Getränken-und-Alkohol.section
                                                                                                                                                                        Definition

                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                        ShortNested Section
                                                                                                                                                                        Comments

                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1202. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                                                                                                                                                                        Slice NameQRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen
                                                                                                                                                                        Definition

                                                                                                                                                                        Nested Sections sub-section headings for level 3.

                                                                                                                                                                        ShortNested sub-section headings for level 3.
                                                                                                                                                                        Comments

                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1204. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.id
                                                                                                                                                                        Definition

                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        1206. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.extension
                                                                                                                                                                        Definition

                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                        Comments

                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeExtension
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                        1208. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.modifierExtension
                                                                                                                                                                        Definition

                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                        Comments

                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeExtension
                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                        1210. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.title
                                                                                                                                                                        Definition

                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                        Comments

                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                        Control1..1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Requirements

                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1212. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code
                                                                                                                                                                        Definition

                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                        Comments

                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                        Control1..1
                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Requirements

                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        1214. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.id
                                                                                                                                                                        Definition

                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                        Control0..1
                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                        Typeid
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        1216. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.extension
                                                                                                                                                                        Definition

                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                        Comments

                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeExtension
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                        • value @ url
                                                                                                                                                                        • 1218. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding
                                                                                                                                                                          Definition

                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                          Comments

                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                          Control1..1
                                                                                                                                                                          TypeCoding
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          1220. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.id
                                                                                                                                                                          Definition

                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                          Control0..1
                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                          Typeid
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          1222. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.extension
                                                                                                                                                                          Definition

                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                          Comments

                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                          Control0..*
                                                                                                                                                                          TypeExtension
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                          • value @ url
                                                                                                                                                                          • 1224. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.system
                                                                                                                                                                            Definition

                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                            Comments

                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            Typeuri
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1226. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.version
                                                                                                                                                                            Definition

                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                            Comments

                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                            Control0..1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1228. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.code
                                                                                                                                                                            Definition

                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                            Control1..1
                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                            Typecode
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                            Pattern Value200000029906
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1230. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.display
                                                                                                                                                                            Definition

                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1232. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.coding.userSelected
                                                                                                                                                                            Definition

                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                            Comments

                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            Typeboolean
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1234. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.code.text
                                                                                                                                                                            Definition

                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                            Comments

                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1236. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.author
                                                                                                                                                                            Definition

                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1238. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.focus
                                                                                                                                                                            Definition

                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                            Comments

                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1240. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.text
                                                                                                                                                                            Definition

                                                                                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                            Comments

                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                            TypeNarrative
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1242. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.orderedBy
                                                                                                                                                                            Definition

                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                            Comments

                                                                                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1244. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.entry
                                                                                                                                                                            Definition

                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                            Comments

                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1246. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.emptyReason
                                                                                                                                                                            Definition

                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                            Comments

                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1248. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029906-Anwendung-bei-Kindern-und-Jugendlichen.section
                                                                                                                                                                            Definition

                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                            ShortNested Section
                                                                                                                                                                            Comments

                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1250. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                                                                                                                                                                            Slice NameQRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten
                                                                                                                                                                            Definition

                                                                                                                                                                            Nested Sections sub-section headings for level 3.

                                                                                                                                                                            ShortNested sub-section headings for level 3.
                                                                                                                                                                            Comments

                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1252. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.id
                                                                                                                                                                            Definition

                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            1254. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.extension
                                                                                                                                                                            Definition

                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                            Comments

                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            1256. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.modifierExtension
                                                                                                                                                                            Definition

                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                            Comments

                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            1258. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.title
                                                                                                                                                                            Definition

                                                                                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                                            Comments

                                                                                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            Typestring
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1260. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code
                                                                                                                                                                            Definition

                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                            Comments

                                                                                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                            Control1..1
                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Requirements

                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            1262. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.id
                                                                                                                                                                            Definition

                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            Typeid
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            1264. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.extension
                                                                                                                                                                            Definition

                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                            Comments

                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                            Control0..*
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                            Summaryfalse
                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                            • value @ url
                                                                                                                                                                            • 1266. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding
                                                                                                                                                                              Definition

                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                              Comments

                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                              Control1..1
                                                                                                                                                                              TypeCoding
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              Summarytrue
                                                                                                                                                                              Requirements

                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                              1268. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.id
                                                                                                                                                                              Definition

                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                              Control0..1
                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                              Typeid
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                              Summaryfalse
                                                                                                                                                                              1270. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.extension
                                                                                                                                                                              Definition

                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                              Comments

                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                              Control0..*
                                                                                                                                                                              TypeExtension
                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                              Summaryfalse
                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                              • value @ url
                                                                                                                                                                              • 1272. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.system
                                                                                                                                                                                Definition

                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                Comments

                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                Control1..1
                                                                                                                                                                                Typeuri
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1274. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.version
                                                                                                                                                                                Definition

                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                Comments

                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1276. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.code
                                                                                                                                                                                Definition

                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                Control1..1
                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                Typecode
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                Pattern Value200000029907
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1278. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.display
                                                                                                                                                                                Definition

                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1280. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.coding.userSelected
                                                                                                                                                                                Definition

                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                Comments

                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typeboolean
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1282. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.code.text
                                                                                                                                                                                Definition

                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                Comments

                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1284. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.author
                                                                                                                                                                                Definition

                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1286. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.focus
                                                                                                                                                                                Definition

                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                Comments

                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1288. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.text
                                                                                                                                                                                Definition

                                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                Comments

                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1290. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.orderedBy
                                                                                                                                                                                Definition

                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                Comments

                                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1292. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.entry
                                                                                                                                                                                Definition

                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                Comments

                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1294. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.emptyReason
                                                                                                                                                                                Definition

                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                Comments

                                                                                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1296. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029907-Wenn-Sie-eine-größere-Menge-von-X-eingenommen-angewendet-haben--als-Sie-sollten.section
                                                                                                                                                                                Definition

                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                Comments

                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1298. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                                                                                                                                                                                Slice NameQRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben
                                                                                                                                                                                Definition

                                                                                                                                                                                Nested Sections sub-section headings for level 3.

                                                                                                                                                                                ShortNested sub-section headings for level 3.
                                                                                                                                                                                Comments

                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                Control0..1
                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1300. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.id
                                                                                                                                                                                Definition

                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                1302. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.extension
                                                                                                                                                                                Definition

                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                Comments

                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeExtension
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                1304. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.modifierExtension
                                                                                                                                                                                Definition

                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                Comments

                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeExtension
                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                Summarytrue
                                                                                                                                                                                Requirements

                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                1306. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.title
                                                                                                                                                                                Definition

                                                                                                                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                Comments

                                                                                                                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                Control1..1
                                                                                                                                                                                Typestring
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1308. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code
                                                                                                                                                                                Definition

                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                Comments

                                                                                                                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                Control1..1
                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Requirements

                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                1310. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.id
                                                                                                                                                                                Definition

                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                Typeid
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                1312. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.extension
                                                                                                                                                                                Definition

                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                Comments

                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                Control0..*
                                                                                                                                                                                TypeExtension
                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                • value @ url
                                                                                                                                                                                • 1314. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding
                                                                                                                                                                                  Definition

                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                  Comments

                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                  Control1..1
                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                  Requirements

                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  1316. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.id
                                                                                                                                                                                  Definition

                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                  Control0..1
                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                  Typeid
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  1318. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.extension
                                                                                                                                                                                  Definition

                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                  Comments

                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                  Control0..*
                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                  • value @ url
                                                                                                                                                                                  • 1320. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.system
                                                                                                                                                                                    Definition

                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                    Comments

                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                    Control1..1
                                                                                                                                                                                    Typeuri
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                    Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1322. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.version
                                                                                                                                                                                    Definition

                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    Typestring
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1324. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.code
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                    Control1..1
                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                    Typecode
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                    Pattern Value200000029908
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1326. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.display
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                    Typestring
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1328. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.coding.userSelected
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1330. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.code.text
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    Typestring
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1332. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.author
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1334. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.focus
                                                                                                                                                                                    Definition

                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1336. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.text
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1338. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.orderedBy
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1340. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.entry
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                    Comments

                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1342. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.emptyReason
                                                                                                                                                                                    Definition

                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                    Comments

                                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1344. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029908-Wenn-Sie-die-Einnahme-Anwendung-von-X-vergessen-haben.section
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1346. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                                                                                                                                                                                    Slice NameQRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Nested Sections sub-section headings for level 3.

                                                                                                                                                                                    ShortNested sub-section headings for level 3.
                                                                                                                                                                                    Comments

                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1348. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.id
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                    Typestring
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    1350. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.extension
                                                                                                                                                                                    Definition

                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                    Comments

                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                    1352. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.modifierExtension
                                                                                                                                                                                    Definition

                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                    Comments

                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                    1354. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.title
                                                                                                                                                                                    Definition

                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                    Comments

                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                    Control1..1
                                                                                                                                                                                    Typestring
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1356. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code
                                                                                                                                                                                    Definition

                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                    Comments

                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                    Control1..1
                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Requirements

                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    1358. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.id
                                                                                                                                                                                    Definition

                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                    Control0..1
                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                    Typeid
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    1360. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.extension
                                                                                                                                                                                    Definition

                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                    Comments

                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                    Control0..*
                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                    • value @ url
                                                                                                                                                                                    • 1362. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding
                                                                                                                                                                                      Definition

                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                      Control1..1
                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      1364. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.id
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                      Control0..1
                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                      Typeid
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      1366. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.extension
                                                                                                                                                                                      Definition

                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                      Comments

                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                      Control0..*
                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                      • value @ url
                                                                                                                                                                                      • 1368. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.system
                                                                                                                                                                                        Definition

                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                        Comments

                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        Typeuri
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                        Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1370. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.version
                                                                                                                                                                                        Definition

                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1372. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.code
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                        Typecode
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                        Pattern Value200000029909
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1374. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.display
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1376. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.coding.userSelected
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1378. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.code.text
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1380. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.author
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1382. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.focus
                                                                                                                                                                                        Definition

                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1384. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.text
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1386. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.orderedBy
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1388. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.entry
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                        Comments

                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1390. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.emptyReason
                                                                                                                                                                                        Definition

                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                        Comments

                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1392. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029905-3--Wie-ist-X-einzunehmen-anzuwenden.section:QRD-200000029909-Wenn-Sie-die-Einnahme-Anwendung-von-X-abbrechen.section
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1394. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                                                                                                                                                                                        Slice NameQRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Nested Sections sub-section headings for level 2.

                                                                                                                                                                                        ShortNested sub-section headings for level 2
                                                                                                                                                                                        Comments

                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1396. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.id
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        1398. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.extension
                                                                                                                                                                                        Definition

                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                        Comments

                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        1400. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.modifierExtension
                                                                                                                                                                                        Definition

                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                        Comments

                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        1402. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.title
                                                                                                                                                                                        Definition

                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                        Comments

                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        Typestring
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1404. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code
                                                                                                                                                                                        Definition

                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                        Comments

                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Requirements

                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        1406. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.id
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                        Control0..1
                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                        Typeid
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        1408. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.extension
                                                                                                                                                                                        Definition

                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                        Comments

                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                        Control0..*
                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                        • value @ url
                                                                                                                                                                                        • 1410. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding
                                                                                                                                                                                          Definition

                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                          Comments

                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                          Control1..1
                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                          Requirements

                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                          1412. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.id
                                                                                                                                                                                          Definition

                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                          Control0..1
                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                          Typeid
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                          1414. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.extension
                                                                                                                                                                                          Definition

                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                          Comments

                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                          Control0..*
                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                          • value @ url
                                                                                                                                                                                          • 1416. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.system
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                            Comments

                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                            Control1..1
                                                                                                                                                                                            Typeuri
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1418. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.version
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1420. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.code
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                            Control1..1
                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                            Typecode
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                            Pattern Value200000029910
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1422. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.display
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1424. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.coding.userSelected
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1426. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.code.text
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            Typestring
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1428. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.author
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1430. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.focus
                                                                                                                                                                                            Definition

                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1432. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.text
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1434. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.orderedBy
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1436. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.entry
                                                                                                                                                                                            Definition

                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                            Comments

                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1438. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.emptyReason
                                                                                                                                                                                            Definition

                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                            Comments

                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Requirements

                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            1440. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Nested Sections sub-section headings for level 3.

                                                                                                                                                                                            ShortNested sub-section headings for level 3.
                                                                                                                                                                                            Comments

                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                            Control0..*
                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                            • value @ code.coding.system
                                                                                                                                                                                            • value @ code.coding.code
                                                                                                                                                                                            • 1442. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.id
                                                                                                                                                                                              Definition

                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                              Control0..1
                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                              Typestring
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              1444. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.extension
                                                                                                                                                                                              Definition

                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                              Comments

                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              1446. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.modifierExtension
                                                                                                                                                                                              Definition

                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                              Comments

                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              1448. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.title
                                                                                                                                                                                              Definition

                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                              Comments

                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                              Control0..1
                                                                                                                                                                                              Typestring
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              1450. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code
                                                                                                                                                                                              Definition

                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                              Comments

                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Requirements

                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              1452. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.id
                                                                                                                                                                                              Definition

                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                              Control0..1
                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                              Typeid
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              1454. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.extension
                                                                                                                                                                                              Definition

                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                              Comments

                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                              Control0..*
                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                              • value @ url
                                                                                                                                                                                              • 1456. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding
                                                                                                                                                                                                Definition

                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                Comments

                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                Requirements

                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                1458. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.id
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                Typeid
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                1460. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.extension
                                                                                                                                                                                                Definition

                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                Comments

                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                • 1462. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.system
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1464. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.version
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1466. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.code
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1468. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.display
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1470. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.coding.userSelected
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1472. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.code.text
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1474. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.author
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1476. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.focus
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1478. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.text
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1480. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.orderedBy
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1482. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.entry
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1484. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.emptyReason
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1486. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section.section
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1488. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections
                                                                                                                                                                                                  Slice NameQRD-200000029910-Blanksubsections
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1490. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.id
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  1492. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.extension
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                  1494. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.modifierExtension
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                  1496. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.title
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1498. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  1500. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.id
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  1502. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.extension
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                  Comments

                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                  • 1504. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    1506. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.id
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    1508. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.extension
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                    Comments

                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                    • 1510. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.system
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                      Typeuri
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1512. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.version
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1514. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.code
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                      Typecode
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                                      Pattern Value200000044346
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1516. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.display
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1518. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1520. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.code.text
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1522. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.author
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1524. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.focus
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1526. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.text
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1528. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.orderedBy
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1530. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.entry
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1532. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.emptyReason
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1534. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029910-Blanksubsections.section
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1536. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                                                                                                                                                                                                      Slice NameQRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                      ShortNested sub-section headings for level 3.
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1538. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.id
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      1540. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.extension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                      1542. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.modifierExtension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                      1544. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.title
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1546. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      1548. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.id
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      1550. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.extension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                      Comments

                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                      • 1552. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        1554. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.id
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        1556. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.extension
                                                                                                                                                                                                        Definition

                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                        Comments

                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                        • 1558. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.system
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1560. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.version
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1562. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.code
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                          Pattern Value200000029911
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1564. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.display
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1566. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.coding.userSelected
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1568. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.code.text
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1570. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.author
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1572. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.focus
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1574. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.text
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1576. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.orderedBy
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1578. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.entry
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1580. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.emptyReason
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1582. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029911-Zusätzliche-Nebenwirkungen-bei-Kindern-und-Jugendlichen.section
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1584. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen
                                                                                                                                                                                                          Slice NameQRD-200000029912-Meldung-von-Nebenwirkungen
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1586. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.id
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          1588. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.extension
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                          1590. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.modifierExtension
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                          1592. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.title
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1594. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          1596. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.id
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          1598. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.extension
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                          • 1600. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            1602. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.id
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            1604. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.extension
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                            Comments

                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                            • 1606. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.system
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1608. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.version
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1610. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.code
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                              Pattern Value200000029912
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1612. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.display
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1614. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.coding.userSelected
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1616. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.code.text
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1618. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.author
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1620. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.focus
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1622. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.text
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1624. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.orderedBy
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1626. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.entry
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1628. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.emptyReason
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1630. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029910-4--Welche-Nebenwirkungen-sind-möglich.section:QRD-200000029912-Meldung-von-Nebenwirkungen.section
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1632. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren
                                                                                                                                                                                                              Slice NameQRD-200000029913-5--Wie-ist-X-aufzubewahren
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                              ShortNested sub-section headings for level 2
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1634. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.id
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              1636. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.extension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              1638. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.modifierExtension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              1640. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.title
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1642. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              1644. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.id
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              1646. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.extension
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                              • 1648. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                1650. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.id
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                1652. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.extension
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                • 1654. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.system
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1656. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.version
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1658. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.code
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                  Pattern Value200000029913
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1660. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.display
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1662. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.coding.userSelected
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1664. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.code.text
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1666. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.author
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1668. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.focus
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1670. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.text
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1672. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.orderedBy
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1674. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.entry
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1676. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.emptyReason
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  1678. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                  • value @ code.coding.system
                                                                                                                                                                                                                  • value @ code.coding.code
                                                                                                                                                                                                                  • 1680. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.id
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    1682. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.extension
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    1684. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.modifierExtension
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    1686. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.title
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    1688. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    1690. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.id
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    1692. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.extension
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                    • 1694. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      1696. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.id
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      1698. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.extension
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                      • 1700. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.system
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1702. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.version
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1704. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.code
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                        Typecode
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1706. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.display
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1708. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.coding.userSelected
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1710. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.code.text
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1712. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.author
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1714. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.focus
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1716. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.text
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1718. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.orderedBy
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1720. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.entry
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1722. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.emptyReason
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1724. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section.section
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1726. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections
                                                                                                                                                                                                                        Slice NameQRD-200000029913-Blanksubsections
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                        ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1728. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.id
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        1730. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.extension
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                        1732. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.modifierExtension
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                        1734. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.title
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1736. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        1738. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.id
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        1740. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.extension
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                        • 1742. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          1744. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.id
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          1746. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.extension
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                          • 1748. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.system
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            Typeuri
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                            Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1750. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.version
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1752. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.code
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                            Typecode
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                                                            Pattern Value200000044346
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1754. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.display
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1756. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1758. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.code.text
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1760. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.author
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1762. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.focus
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1764. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.text
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1766. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.orderedBy
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1768. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.entry
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1770. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.emptyReason
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1772. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029913-5--Wie-ist-X-aufzubewahren.section:QRD-200000029913-Blanksubsections.section
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1774. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                                                                                                                                                                                                                            Slice NameQRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                                            ShortNested sub-section headings for level 2
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1776. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.id
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            1778. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.extension
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                            1780. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.modifierExtension
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                            1782. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.title
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1784. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            1786. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.id
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            1788. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.extension
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                            • 1790. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                              TypeCoding
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              1792. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.id
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              1794. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.extension
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                              • 1796. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.system
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                Typeuri
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1798. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.version
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1800. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.code
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                Typecode
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                                                                Pattern Value200000029914
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1802. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.display
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1804. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.coding.userSelected
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                Typeboolean
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1806. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.code.text
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1808. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.author
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1810. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.focus
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1812. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.text
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1814. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.orderedBy
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1816. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.entry
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1818. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.emptyReason
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                1820. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                • value @ code.coding.system
                                                                                                                                                                                                                                • value @ code.coding.code
                                                                                                                                                                                                                                • 1822. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.id
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  1824. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.extension
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                  1826. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.modifierExtension
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                  1828. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.title
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  1830. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  1832. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.id
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  1834. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.extension
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                  • 1836. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    1838. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.id
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    1840. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.extension
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                    • 1842. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.system
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      Typeuri
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1844. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.version
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1846. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.code
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                      Typecode
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1848. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.display
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1850. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.coding.userSelected
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1852. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.code.text
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1854. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.author
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1856. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.focus
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1858. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.text
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1860. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.orderedBy
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1862. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.entry
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1864. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.emptyReason
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1866. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section.section
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1868. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections
                                                                                                                                                                                                                                      Slice NameQRD-200000029914-Blanksubsections
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                      ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1870. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.id
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      1872. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.extension
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      1874. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.modifierExtension
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      1876. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.title
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1878. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      1880. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.id
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      1882. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.extension
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                      • 1884. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                        1886. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.id
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                        1888. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.extension
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                        • 1890. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.system
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                          Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1892. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.version
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1894. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.code
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                          Pattern Value200000044346
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1896. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.display
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1898. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.coding.userSelected
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1900. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.code.text
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1902. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.author
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1904. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.focus
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1906. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.text
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1908. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.orderedBy
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1910. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.entry
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1912. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.emptyReason
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1914. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029914-Blanksubsections.section
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1916. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält
                                                                                                                                                                                                                                          Slice NameQRD-200000029915-Was-X-enthält
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1918. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.id
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          1920. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.extension
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          1922. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.modifierExtension
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          1924. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.title
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1926. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          1928. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.id
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          1930. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.extension
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                          • 1932. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            1934. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.id
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                            1936. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.extension
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                            • 1938. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.system
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                              Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1940. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.version
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1942. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.code
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                                              Pattern Value200000029915
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1944. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.display
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1946. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.coding.userSelected
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1948. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.code.text
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1950. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.author
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1952. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.focus
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1954. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.text
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1956. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.orderedBy
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1958. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.entry
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1960. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.emptyReason
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1962. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029915-Was-X-enthält.section
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1964. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                                                                                                                                                                                                                                              Slice NameQRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                              ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1966. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.id
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              1968. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.extension
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                              1970. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.modifierExtension
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                              1972. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.title
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1974. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              1976. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.id
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              1978. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.extension
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                              • 1980. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                1982. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.id
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                1984. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.extension
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                • 1986. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.system
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                  Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1988. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.version
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1990. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.code
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                  Pattern Value200000029916
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1992. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.display
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1994. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.coding.userSelected
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1996. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.code.text
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  1998. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.author
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2000. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.focus
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2002. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.text
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2004. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.orderedBy
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2006. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.entry
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2008. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.emptyReason
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2010. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029916-Wie-X-aussieht-und-Inhalt-der-Packung.section
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2012. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                                                                                                                                                                                                                                                  Slice NameQRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2014. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.id
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  2016. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.extension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  2018. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.modifierExtension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  2020. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.title
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2022. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  2024. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.id
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  2026. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.extension
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                  • 2028. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    2030. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.id
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    2032. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.extension
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                    • 2034. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.system
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      Typeuri
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                      Pattern Valuehttp://ema.europa.eu/fhir/CodeSystem/200000029659
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2036. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.version
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2038. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.code
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                      Typecode
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                      Pattern Value200000029917
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2040. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.display
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2042. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.coding.userSelected
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2044. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.code.text
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2046. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.author
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2048. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.focus
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2050. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.text
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2052. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.orderedBy
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2054. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.entry
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2056. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.emptyReason
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2058. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:QRD-200000029914-6--Inhalt-der-Packung-und-weitere-Informationen.section:QRD-200000029917-Pharmazeutischer-Unternehmer-und-Hersteller.section
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A nested sub-section within this section.

                                                                                                                                                                                                                                                      ShortNested Section
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2060. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use
                                                                                                                                                                                                                                                      Slice NameACS-instructions-for-use
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                                                                      ShortNested sub-section headings for level 2
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2062. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.id
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      2064. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.extension
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      2066. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.modifierExtension
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      2068. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.title
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2070. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      2072. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.id
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      2074. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.extension
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                      • 2076. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        2078. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.id
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        2080. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.extension
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                        • 2082. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.system
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                          Typeuri
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                          Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2084. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.version
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2086. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.code
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                          Typecode
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                          Pattern Valueinstructions-for-use
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2088. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.display
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2090. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.coding.userSelected
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typeboolean
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2092. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.code.text
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2094. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.author
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2096. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.focus
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2098. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.text
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2100. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.orderedBy
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2102. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.entry
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2104. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.emptyReason
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          2106. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                          ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                          • value @ code.coding.system
                                                                                                                                                                                                                                                          • value @ code.coding.code
                                                                                                                                                                                                                                                          • 2108. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.id
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            2110. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.extension
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            2112. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.modifierExtension
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            2114. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.title
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            2116. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            2118. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.id
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            2120. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.extension
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                            • 2122. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                              TypeCoding
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              2124. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.id
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                              2126. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.extension
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                              • 2128. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.system
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                Typeuri
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2130. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.version
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2132. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.code
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                Typecode
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2134. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.display
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2136. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.coding.userSelected
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typeboolean
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2138. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.code.text
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2140. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.author
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2142. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.focus
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2144. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.text
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2146. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.orderedBy
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2148. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.entry
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2150. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.emptyReason
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2152. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section.section
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2154. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection
                                                                                                                                                                                                                                                                Slice NameACS-generic-subsection
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2156. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.id
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                2158. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.extension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                2160. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.modifierExtension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                2162. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.title
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2164. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                2166. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.id
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                2168. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.extension
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                • 2170. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  2172. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.id
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                  2174. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.extension
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                  • 2176. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.system
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                    Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2178. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.version
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2180. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.code
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                    Pattern Valuesubsection
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2182. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.display
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2184. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.coding.userSelected
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2186. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.code.text
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2188. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.author
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2190. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.focus
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2192. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.text
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2194. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.orderedBy
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2196. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.entry
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2198. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.emptyReason
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2200. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-instructions-for-use.section:ACS-generic-subsection.section
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2202. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp
                                                                                                                                                                                                                                                                    Slice NameACS-information-for-hcp
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                                                                                    ShortNested sub-section headings for level 2
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2204. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.id
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    2206. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.extension
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                    2208. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.modifierExtension
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                    2210. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.title
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2212. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    2214. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.id
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    2216. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.extension
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                    • 2218. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      2220. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.id
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      2222. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.extension
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                                      • 2224. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.system
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                        Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2226. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.version
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2228. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.code
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                        Typecode
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                        Pattern Valueinformation-for-hcp
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2230. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.display
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2232. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.coding.userSelected
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2234. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.code.text
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2236. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.author
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2238. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.focus
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2240. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.text
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2242. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.orderedBy
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2244. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.entry
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2246. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.emptyReason
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        2248. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                        ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                        • value @ code.coding.system
                                                                                                                                                                                                                                                                        • value @ code.coding.code
                                                                                                                                                                                                                                                                        • 2250. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.id
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          2252. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.extension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          2254. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.modifierExtension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          2256. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.title
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          2258. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          2260. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.id
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          2262. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.extension
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                          • 2264. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                            2266. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.id
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                            2268. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.extension
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                            • 2270. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.system
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2272. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.version
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2274. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.code
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2276. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.display
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2278. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.coding.userSelected
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2280. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.code.text
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2282. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.author
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2284. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.focus
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2286. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.text
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2288. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.orderedBy
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2290. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.entry
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2292. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.emptyReason
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2294. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section.section
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2296. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection
                                                                                                                                                                                                                                                                              Slice NameACS-generic-subsection
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                              ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2298. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.id
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              2300. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.extension
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                              2302. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.modifierExtension
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                              2304. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.title
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2306. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              2308. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.id
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              2310. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.extension
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                              • 2312. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                2314. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.id
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                2316. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.extension
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                • 2318. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.system
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                  Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2320. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.version
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2322. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.code
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                  Pattern Valuesubsection
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2324. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.display
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2326. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.coding.userSelected
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2328. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.code.text
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2330. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.author
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2332. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.focus
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2334. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.text
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2336. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.orderedBy
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2338. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.entry
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2340. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.emptyReason
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2342. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-information-for-hcp.section:ACS-generic-subsection.section
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2344. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter
                                                                                                                                                                                                                                                                                  Slice NameACS-unclassified-approved-chapter
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                                                                                                  ShortNested sub-section headings for level 2
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeBackboneElement
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2346. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.id
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  2348. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.extension
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                  2350. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.modifierExtension
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                  2352. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.title
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                  ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                  Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2354. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                  ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                  BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                  Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                  Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  2356. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.id
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  2358. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.extension
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                                  • 2360. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                    TypeCoding
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    2362. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.id
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    2364. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.extension
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                                    • 2366. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.system
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                      Typeuri
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                      Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2368. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.version
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2370. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.code
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                      Typecode
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                      Pattern Valueunclassified-approved-chapter
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2372. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.display
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2374. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.coding.userSelected
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      Typeboolean
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2376. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.code.text
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2378. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.author
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                      ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2380. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.focus
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                      ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2382. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.text
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                      ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                      TypeNarrative
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2384. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.orderedBy
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                      ShortOrder of section entries
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                      What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2386. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.entry
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                      ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                      TypeReference(Resource)
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2388. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.emptyReason
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                      ShortWhy the section is empty
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                      If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      2390. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                                      ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                      • value @ code.coding.system
                                                                                                                                                                                                                                                                                      • value @ code.coding.code
                                                                                                                                                                                                                                                                                      • 2392. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.id
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        2394. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.extension
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                        2396. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.modifierExtension
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                        2398. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.title
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        2400. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        2402. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.id
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        2404. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.extension
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                        • 2406. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          2408. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.id
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          2410. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.extension
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                                          • 2412. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.system
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            Typeuri
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2414. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.version
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2416. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.code
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                            Typecode
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2418. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.display
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2420. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.coding.userSelected
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2422. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.code.text
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2424. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.author
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2426. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.focus
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2428. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.text
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2430. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.orderedBy
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2432. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.entry
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2434. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.emptyReason
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2436. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section.section
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A nested sub-section within this section.

                                                                                                                                                                                                                                                                                            ShortNested Section
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2438. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection
                                                                                                                                                                                                                                                                                            Slice NameACS-generic-subsection
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                                            ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeBackboneElement
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2440. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.id
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            2442. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.extension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            2444. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.modifierExtension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            2446. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.title
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                            ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                            Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2448. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                            ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                            BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                            Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                            Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            2450. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.id
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            2452. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.extension
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                                            • 2454. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                              ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                              TypeCoding
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              2456. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.id
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              2458. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.extension
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                                              • 2460. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.system
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                Typeuri
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2462. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.version
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2464. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.code
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                Typecode
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                Pattern Valuesubsection
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2466. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.display
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2468. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.coding.userSelected
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typeboolean
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2470. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.code.text
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2472. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.author
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2474. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.focus
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2476. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.text
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                TypeNarrative
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2478. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.orderedBy
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                ShortOrder of section entries
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2480. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.entry
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                TypeReference(Resource)
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2482. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.emptyReason
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2484. Composition.section:QRD-200000029894-PACKUNGSBEILAGE.section:ACS-unclassified-approved-chapter.section:ACS-generic-subsection.section
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                ShortNested Section
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2486. Composition.section:ACS-localized-sections
                                                                                                                                                                                                                                                                                                Slice NameACS-localized-sections
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The root of the sections that make up the composition.

                                                                                                                                                                                                                                                                                                ShortComposition is broken into sections
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                TypeBackboneElement
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                                                                                                                                                                                                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                                                                                                                                                                                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2488. Composition.section:ACS-localized-sections.id
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                2490. Composition.section:ACS-localized-sections.extension
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                2492. Composition.section:ACS-localized-sections.modifierExtension
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                2494. Composition.section:ACS-localized-sections.title
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2496. Composition.section:ACS-localized-sections.code
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                                BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Must Supportfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                2498. Composition.section:ACS-localized-sections.code.id
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                2500. Composition.section:ACS-localized-sections.code.extension
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                                • 2502. Composition.section:ACS-localized-sections.code.coding
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeCoding
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  2504. Composition.section:ACS-localized-sections.code.coding.id
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                  Typeid
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  2506. Composition.section:ACS-localized-sections.code.coding.extension
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                                                                                                  • 2508. Composition.section:ACS-localized-sections.code.coding.system
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                    ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                                    Typeuri
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                    Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2510. Composition.section:ACS-localized-sections.code.coding.version
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2512. Composition.section:ACS-localized-sections.code.coding.code
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                    Typecode
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                    Pattern Valuelocalized-sections
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2514. Composition.section:ACS-localized-sections.code.coding.display
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                    ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2516. Composition.section:ACS-localized-sections.code.coding.userSelected
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    Typeboolean
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2518. Composition.section:ACS-localized-sections.code.text
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                    ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2520. Composition.section:ACS-localized-sections.author
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2522. Composition.section:ACS-localized-sections.focus
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2524. Composition.section:ACS-localized-sections.text
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2526. Composition.section:ACS-localized-sections.orderedBy
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2528. Composition.section:ACS-localized-sections.entry
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2530. Composition.section:ACS-localized-sections.emptyReason
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    2532. Composition.section:ACS-localized-sections.section
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Nested Sections sub-section headings for level 2.

                                                                                                                                                                                                                                                                                                    ShortNested sub-section headings for level 2
                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                    Control1..*
                                                                                                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                    • value @ code.coding.system
                                                                                                                                                                                                                                                                                                    • value @ code.coding.code
                                                                                                                                                                                                                                                                                                    • 2534. Composition.section:ACS-localized-sections.section.id
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      2536. Composition.section:ACS-localized-sections.section.extension
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                      2538. Composition.section:ACS-localized-sections.section.modifierExtension
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                      2540. Composition.section:ACS-localized-sections.section.title
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                      ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                      Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      2542. Composition.section:ACS-localized-sections.section.code
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                      ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                      Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Must Supportfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                      Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      2544. Composition.section:ACS-localized-sections.section.code.id
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      2546. Composition.section:ACS-localized-sections.section.code.extension
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                                                                      • 2548. Composition.section:ACS-localized-sections.section.code.coding
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                        TypeCoding
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2550. Composition.section:ACS-localized-sections.section.code.text
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2552. Composition.section:ACS-localized-sections.section.author
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2554. Composition.section:ACS-localized-sections.section.focus
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2556. Composition.section:ACS-localized-sections.section.text
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2558. Composition.section:ACS-localized-sections.section.orderedBy
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2560. Composition.section:ACS-localized-sections.section.entry
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2562. Composition.section:ACS-localized-sections.section.emptyReason
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2564. Composition.section:ACS-localized-sections.section.section
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2566. Composition.section:ACS-localized-sections.section.section.id
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        2568. Composition.section:ACS-localized-sections.section.section.extension
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        2570. Composition.section:ACS-localized-sections.section.section.modifierExtension
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        2572. Composition.section:ACS-localized-sections.section.section.title
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2574. Composition.section:ACS-localized-sections.section.section.code
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        2576. Composition.section:ACS-localized-sections.section.section.code.id
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        2578. Composition.section:ACS-localized-sections.section.section.code.extension
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                                        • 2580. Composition.section:ACS-localized-sections.section.section.code.coding
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2582. Composition.section:ACS-localized-sections.section.section.code.text
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2584. Composition.section:ACS-localized-sections.section.section.author
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                          ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2586. Composition.section:ACS-localized-sections.section.section.focus
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                          ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2588. Composition.section:ACS-localized-sections.section.section.text
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                          ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                          TypeNarrative
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2590. Composition.section:ACS-localized-sections.section.section.orderedBy
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                          ShortOrder of section entries
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                          What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2592. Composition.section:ACS-localized-sections.section.section.entry
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                          ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                          TypeReference(Resource)
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2594. Composition.section:ACS-localized-sections.section.section.emptyReason
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                          ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                          If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2596. Composition.section:ACS-localized-sections.section.section.section
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2598. Composition.section:ACS-localized-sections.section:ACS-general-notification
                                                                                                                                                                                                                                                                                                          Slice NameACS-general-notification
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                          ShortNested Section
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          TypeBackboneElement
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2600. Composition.section:ACS-localized-sections.section:ACS-general-notification.id
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          2602. Composition.section:ACS-localized-sections.section:ACS-general-notification.extension
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                          2604. Composition.section:ACS-localized-sections.section:ACS-general-notification.modifierExtension
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                          2606. Composition.section:ACS-localized-sections.section:ACS-general-notification.title
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                          ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                          Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2608. Composition.section:ACS-localized-sections.section:ACS-general-notification.code
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                          ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                                                                                                          BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                          Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Must Supportfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          2610. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.id
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          2612. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.extension
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                                                          • 2614. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            TypeCoding
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            2616. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.id
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                            Typeid
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            2618. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.extension
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                                                                                                                            • 2620. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.system
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                              Typeuri
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                              Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2622. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.version
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2624. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.code
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                              Typecode
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                              Pattern Valuegeneral-notification
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2626. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.display
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                              ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2628. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.coding.userSelected
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typeboolean
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2630. Composition.section:ACS-localized-sections.section:ACS-general-notification.code.text
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2632. Composition.section:ACS-localized-sections.section:ACS-general-notification.author
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2634. Composition.section:ACS-localized-sections.section:ACS-general-notification.focus
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2636. Composition.section:ACS-localized-sections.section:ACS-general-notification.text
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2638. Composition.section:ACS-localized-sections.section:ACS-general-notification.orderedBy
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2640. Composition.section:ACS-localized-sections.section:ACS-general-notification.entry
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2642. Composition.section:ACS-localized-sections.section:ACS-general-notification.emptyReason
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2644. Composition.section:ACS-localized-sections.section:ACS-general-notification.section
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2646. Composition.section:ACS-localized-sections.section:ACS-education-material
                                                                                                                                                                                                                                                                                                              Slice NameACS-education-material
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2648. Composition.section:ACS-localized-sections.section:ACS-education-material.id
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              2650. Composition.section:ACS-localized-sections.section:ACS-education-material.extension
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                              2652. Composition.section:ACS-localized-sections.section:ACS-education-material.modifierExtension
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                              2654. Composition.section:ACS-localized-sections.section:ACS-education-material.title
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2656. Composition.section:ACS-localized-sections.section:ACS-education-material.code
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              2658. Composition.section:ACS-localized-sections.section:ACS-education-material.code.id
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              2660. Composition.section:ACS-localized-sections.section:ACS-education-material.code.extension
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                                                              • 2662. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding
                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                2664. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.id
                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                2666. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.extension
                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                                                • 2668. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.system
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                                  Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2670. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.version
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2672. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.code
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                                  Pattern Valueeducation-material
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2674. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.display
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2676. Composition.section:ACS-localized-sections.section:ACS-education-material.code.coding.userSelected
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2678. Composition.section:ACS-localized-sections.section:ACS-education-material.code.text
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2680. Composition.section:ACS-localized-sections.section:ACS-education-material.author
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2682. Composition.section:ACS-localized-sections.section:ACS-education-material.focus
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2684. Composition.section:ACS-localized-sections.section:ACS-education-material.text
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2686. Composition.section:ACS-localized-sections.section:ACS-education-material.orderedBy
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2688. Composition.section:ACS-localized-sections.section:ACS-education-material.entry
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2690. Composition.section:ACS-localized-sections.section:ACS-education-material.emptyReason
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  2692. Composition.section:ACS-localized-sections.section:ACS-education-material.section
                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                  Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                                                                  ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                  SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                  • value @ code.coding.system
                                                                                                                                                                                                                                                                                                                  • value @ code.coding.code
                                                                                                                                                                                                                                                                                                                  • 2694. Composition.section:ACS-localized-sections.section:ACS-education-material.section.id
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    2696. Composition.section:ACS-localized-sections.section:ACS-education-material.section.extension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    2698. Composition.section:ACS-localized-sections.section:ACS-education-material.section.modifierExtension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    2700. Composition.section:ACS-localized-sections.section:ACS-education-material.section.title
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2702. Composition.section:ACS-localized-sections.section:ACS-education-material.section.code
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2704. Composition.section:ACS-localized-sections.section:ACS-education-material.section.author
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                    ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2706. Composition.section:ACS-localized-sections.section:ACS-education-material.section.focus
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                    ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2708. Composition.section:ACS-localized-sections.section:ACS-education-material.section.text
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                    ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                    TypeNarrative
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2710. Composition.section:ACS-localized-sections.section:ACS-education-material.section.orderedBy
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                    ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                    What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2712. Composition.section:ACS-localized-sections.section:ACS-education-material.section.entry
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                    ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                    TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2714. Composition.section:ACS-localized-sections.section:ACS-education-material.section.emptyReason
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                    ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                    If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2716. Composition.section:ACS-localized-sections.section:ACS-education-material.section.section
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2718. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection
                                                                                                                                                                                                                                                                                                                    Slice NameACS-generic-subsection
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                    ShortNested Section
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeBackboneElement
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2720. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.id
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    2722. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.extension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    2724. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.modifierExtension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    2726. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.title
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                    ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                    Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2728. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                    ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                                                                                                                    BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                                    Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Must Supportfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                                    Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    2730. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.id
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                    Typeid
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    2732. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.extension
                                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                                                                                                    TypeExtension
                                                                                                                                                                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                                                                                                                                                                    Summaryfalse
                                                                                                                                                                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                    SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                                                                                                                    • 2734. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                                      ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      TypeCoding
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      2736. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.id
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                      Typeid
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      2738. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.extension
                                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                                                      TypeExtension
                                                                                                                                                                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                                                                                                                                                                      Summaryfalse
                                                                                                                                                                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                                                                                                                                      • 2740. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.system
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                                        ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                                        Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2742. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.version
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2744. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.code
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                        Typecode
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                                        Pattern Valuesubsection
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2746. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.display
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                                        ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2748. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.coding.userSelected
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        Typeboolean
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2750. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.code.text
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                                        ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2752. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.author
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                        ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2754. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.focus
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2756. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.text
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                        ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                        TypeNarrative
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2758. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.orderedBy
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                        ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                        What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2760. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.entry
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                        ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                        TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2762. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.emptyReason
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                        ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                        If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2764. Composition.section:ACS-localized-sections.section:ACS-education-material.section:ACS-generic-subsection.section
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2766. Composition.section:ACS-localized-sections.section:ACS-additional-chapter
                                                                                                                                                                                                                                                                                                                        Slice NameACS-additional-chapter
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                        ShortNested Section
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeBackboneElement
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2768. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.id
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        2770. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.extension
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                        2772. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.modifierExtension
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                        Summarytrue
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                        2774. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.title
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                        ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                        Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2776. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                        ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                                                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                                        Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Must Supportfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                                        Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        2778. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.id
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                        Typeid
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        2780. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.extension
                                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                        Comments

                                                                                                                                                                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                                        TypeExtension
                                                                                                                                                                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                                                                                                                                                                        Summaryfalse
                                                                                                                                                                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                        SlicingThis element introduces a set of slices on Composition.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                        • value @ url
                                                                                                                                                                                                                                                                                                                        • 2782. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding
                                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                                          A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                                          ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                                          TypeCoding
                                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                          2784. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.id
                                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                          Typeid
                                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                                          2786. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.extension
                                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                          Comments

                                                                                                                                                                                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                                          TypeExtension
                                                                                                                                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                                                                                                                                          Summaryfalse
                                                                                                                                                                                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                          SlicingThis element introduces a set of slices on Composition.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                                                                                                                                          • 2788. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.system
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                                            ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                                                            Typeuri
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                                            Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2790. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.version
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                                            ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2792. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.code
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                            Typecode
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                                            Pattern Valueadditional-chapter
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2794. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.display
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                                            ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2796. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.coding.userSelected
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            Typeboolean
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2798. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.code.text
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                                            ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2800. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.author
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                            ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2802. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.focus
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                            ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2804. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.text
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                            ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                            TypeNarrative
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2806. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.orderedBy
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                            ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                            What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2808. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.entry
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                            ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                            TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2810. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.emptyReason
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                            ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                                            This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                            If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                            TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            2812. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section
                                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                                            Nested Sections sub-section headings for level 3.

                                                                                                                                                                                                                                                                                                                            ShortNested sub-section headings for level 3.
                                                                                                                                                                                                                                                                                                                            Comments

                                                                                                                                                                                                                                                                                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                            Is Modifierfalse
                                                                                                                                                                                                                                                                                                                            Must Supportfalse
                                                                                                                                                                                                                                                                                                                            Summaryfalse
                                                                                                                                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                            SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                            • value @ code.coding.system
                                                                                                                                                                                                                                                                                                                            • value @ code.coding.code
                                                                                                                                                                                                                                                                                                                            • 2814. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.id
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              2816. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.extension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              2818. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.modifierExtension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              2820. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.title
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2822. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.code
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2824. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.author
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                              ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2826. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.focus
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                              ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2828. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.text
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                              ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                              TypeNarrative
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2830. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.orderedBy
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                              ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                              What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2832. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.entry
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                              ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                              TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2834. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.emptyReason
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                              ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                              If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2836. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section.section
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2838. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection
                                                                                                                                                                                                                                                                                                                              Slice NameACS-generic-subsection
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                              ShortNested Section
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeBackboneElement
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2840. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.id
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              2842. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.extension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              2844. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.modifierExtension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                                                                                                                                                                              Summarytrue
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              2846. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.title
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                                                                                                                                                                                                                                                                              ShortLabel for section (e.g. for ToC)
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                                                                                                                                                                                                                                                                              Alternate Namesheader, label, caption
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2848. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                                                                                                                                                                                                                                                                              ShortClassification of section (recommended)
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                                                                                                                                                                                                                                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                                                                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                                                                                                                              BindingFor example codes, see DocumentSectionCodes
                                                                                                                                                                                                                                                                                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0)

                                                                                                                                                                                                                                                                                                                              Classification of a section of a composition/document.

                                                                                                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Must Supportfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                                                                                                              Provides computable standardized labels to topics within the document.

                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              2850. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.id
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                              Typeid
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              2852. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.extension
                                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                              Comments

                                                                                                                                                                                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                                              TypeExtension
                                                                                                                                                                                                                                                                                                                              Is Modifierfalse
                                                                                                                                                                                                                                                                                                                              Summaryfalse
                                                                                                                                                                                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                                                                                                                                              • 2854. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                A reference to a code defined by a terminology system.

                                                                                                                                                                                                                                                                                                                                ShortCode defined by a terminology system
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                TypeCoding
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                2856. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.id
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                                                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                                                                                                                                Typeid
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                2858. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.extension
                                                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                                                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                Comments

                                                                                                                                                                                                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                                                                                                                                TypeExtension
                                                                                                                                                                                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                Summaryfalse
                                                                                                                                                                                                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                                                                                                                                                                                SlicingThis element introduces a set of slices on Composition.section.section.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                                                                                                                                • 2860. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.system
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                                                                                                                                                                                  ShortIdentity of the terminology system
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                                                  Typeuri
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                                                                                                                                                                                  Pattern Valuehttp://fhir.pharmaprotect.de/digital/epil-fhir-ig/CodeSystem/DEU-ePIL-Extended-Section-CodeSystem
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2862. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.version
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                                                                                                                                                                                  ShortVersion of the system - if relevant
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                                                                                                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2864. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.code
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                                                                                                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                                  Typecode
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Need to refer to a particular code in the system.

                                                                                                                                                                                                                                                                                                                                  Pattern Valuesubsection
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2866. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.display
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                                                                                                                                                                                  ShortRepresentation defined by the system
                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cod-1
                                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2868. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.coding.userSelected
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                                                                                                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  Typeboolean
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2870. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.code.text
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                                                                                                                                                                                  ShortPlain text representation of the concept
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2872. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.author
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                                                                                                                                                                                                                                                                                  ShortWho and/or what authored the section
                                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Identifies who is responsible for the content.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2874. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.focus
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                                                                                                                                                                                                                                                                                  ShortWho/what the section is about, when it is not about the subject of composition
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2876. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.text
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                                                                                                                                                                                                                                                                                  ShortText summary of the section, for human interpretation
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1
                                                                                                                                                                                                                                                                                                                                  TypeNarrative
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2878. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.orderedBy
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  Specifies the order applied to the items in the section entries.

                                                                                                                                                                                                                                                                                                                                  ShortOrder of section entries
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListOrderCodes
                                                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-order|5.0.0)

                                                                                                                                                                                                                                                                                                                                  What order applies to the items in the entry.

                                                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2880. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.entry
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                                                                                                                                                                                                                                                                                  ShortA reference to data that supports this section
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-1, cmp-2
                                                                                                                                                                                                                                                                                                                                  TypeReference(Resource)
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2882. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.emptyReason
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                                                                                                                                                                                                                                                                                  ShortWhy the section is empty
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                                                  This element is affected by the following invariants: cmp-2
                                                                                                                                                                                                                                                                                                                                  BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                                                                                                                                                                                                                                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0)

                                                                                                                                                                                                                                                                                                                                  If a section is empty, why it is empty.

                                                                                                                                                                                                                                                                                                                                  TypeCodeableConcept
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                                                                                                                                  2884. Composition.section:ACS-localized-sections.section:ACS-additional-chapter.section:ACS-generic-subsection.section
                                                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                                                  A nested sub-section within this section.

                                                                                                                                                                                                                                                                                                                                  ShortNested Section
                                                                                                                                                                                                                                                                                                                                  Comments

                                                                                                                                                                                                                                                                                                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                                                                                                                                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                                                                                                                                                                  Must Supportfalse
                                                                                                                                                                                                                                                                                                                                  Summaryfalse
                                                                                                                                                                                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))