Clinical Document Section
A section of a clinical document (e.g., Family History, Discharge Medications).
Appears in
Constraints
- XOR(Clinical Document Section Text, Clinical Document Section DAR Code)
Stereotype(s)
n/a
Attributes
| Attribute | Type | Multiplicity | Attribute note |
|---|---|---|---|
| Clinical Document Section Code | Codeable Concept | 0..1 | Uniquely specifies a classification of a section.
Value Set: To be developed. |
| Clinical Document Section Title | String | 0..1 | The label for this particular section. |
| Clinical Document Section Text | String | 0..1 | A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. |
| Clinical Document Section Data Absent Reason Code | Codeable Concept | 0..1 | Uniquely specifies, if a section is not populated, the reason why the data is absent (e.g., not asked).
Value Set: http://hl7.org/fhir/ValueSet/list-empty-reason |
Relationships
| From class | From multiplicity | Relationship | To class | To multiplicity |
|---|---|---|---|---|
| Clinical Document Section | 0..* | has (aggregation) | Attachment | 0..* |
| Clinical Document Section | 0..1 | has (composition) | Clinical Document Section | 0..* |
| Clinical Document Section | 0..1 | has (aggregation) | Clinical Annotation | 0..* |
| Clinical Document | 0..* | has (composition) | Clinical Document Section | 0..* |
Contact us
If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.
How to cite:
Canadian Institute for Health Information. Clinical Document Section. Accessed November 02, 2026.
