PatientSummary IG NL
1.0.0-alpha.2 - Alpha
PatientSummary IG NL
1.0.0-alpha.2 - Alpha
This page is part of the Patient Summary IG NL (v1.0.0-alpha.2: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://ig.nictiz.nl/nlps/StructureDefinition/nl-PatientSummary | Version: 1.0.0-alpha.2 | ||||
| Draft as of 2026-10-27 | Computable Name: NlPatientSummary | ||||
Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
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This profile defines how the Composition resource is used to represent a Dutch Patient Summary.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language Binding: CommonLanguages (preferred): A human language.
| |||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||
   extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
  url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
 value[x] |
0..1 | string | Version
| |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
 identifier |
1..1 | Identifier | Identifier
| |||||||||||
| status |
1..1 | code | Status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | ServiceSpecialty Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
| |||||||||||
 subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||||||
| date |
1..1 | dateTime | Date
| |||||||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
  attester:All Slices |
Content/Rules for all slices | |||||||||||||
  modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
 mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | EventType Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
 period |
0..1 | Period | Period
| |||||||||||
 Slices for section |
C | 5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||
 extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(nl core Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(nl core Procedure) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Composition.extension:version, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionProceduresHx.extension:note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:note, Composition.section:sectionMedicalDevices.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||
| language |
0..1 | code | Language
| |||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||
| value[x] |
0..1 | string | Version
| |||||||
| identifier |
1..1 | Identifier | Identifier
| |||||||
| status |
1..1 | code | Status
| |||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern:
| |||||||
| category |
0..* | CodeableConcept | ServiceSpecialty
| |||||||
| subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||
| date |
1..1 | dateTime | Date
| |||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||
| title |
1..1 | string | Title
| |||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||
| mode |
1..1 | code | personal | professional | legal | official Required Pattern: legal (extensions allowed)
| |||||||
| time |
1..1 | dateTime | DateTime
| |||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||
| mode |
1..1 | code | personal | professional | legal | official Required Pattern: professional (extensions allowed)
| |||||||
| time |
1..1 | dateTime | DateTime
| |||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||
| event |
||||||||||
| code |
0..* | CodeableConcept | EventType
| |||||||
| period |
0..1 | Period | Period
| |||||||
| Slices for section |
5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:problem |
0..* | Reference(nl core Condition) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:allergyOrIntolerance |
0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| entry |
0..* | Reference(Resource) | A reference to data that supports this section
| |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:procedure |
0..* | Reference(nl core Procedure) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:deviceStatement |
0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| Documentation for this format | ||||||||||
| Id | Grade | Path(s) | Description | Expression |
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| value[x] |
0..1 | string | Version
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | Identifier
| |||||||||||
| status |
1..1 | code | Status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | ServiceSpecialty Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
| |||||||||||
| subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | Date
| |||||||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||||||||
| time |
0..1 | dateTime | When the composition was attested | |||||||||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
 target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition) | |||||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | EventType Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Period
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(nl core Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(nl core Procedure) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
Summary
Mandatory: 17 elements(4 nested mandatory elements)
Must-Support: 54 elements
Fixed: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| value[x] |
0..1 | string | Version
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | Identifier
| |||||||||||
| status |
1..1 | code | Status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | ServiceSpecialty Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
| |||||||||||
| subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||||||
| date |
1..1 | dateTime | Date
| |||||||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | EventType Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Period
| |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(nl core Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(nl core Procedure) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Composition.extension:version, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionProceduresHx.extension:note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:note, Composition.section:sectionMedicalDevices.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||
| language |
0..1 | code | Language
| |||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||
| value[x] |
0..1 | string | Version
| |||||||
| identifier |
1..1 | Identifier | Identifier
| |||||||
| status |
1..1 | code | Status
| |||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern:
| |||||||
| category |
0..* | CodeableConcept | ServiceSpecialty
| |||||||
| subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||
| date |
1..1 | dateTime | Date
| |||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||
| title |
1..1 | string | Title
| |||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||
| mode |
1..1 | code | personal | professional | legal | official Required Pattern: legal (extensions allowed)
| |||||||
| time |
1..1 | dateTime | DateTime
| |||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||
| mode |
1..1 | code | personal | professional | legal | official Required Pattern: professional (extensions allowed)
| |||||||
| time |
1..1 | dateTime | DateTime
| |||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||
| event |
||||||||||
| code |
0..* | CodeableConcept | EventType
| |||||||
| period |
0..1 | Period | Period
| |||||||
| Slices for section |
5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:problem |
0..* | Reference(nl core Condition) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:allergyOrIntolerance |
0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| entry |
0..* | Reference(Resource) | A reference to data that supports this section
| |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:procedure |
0..* | Reference(nl core Procedure) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: nl-ps-comp-1
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:note |
0..* | Extension | Extension | |||||||
| url |
1..1 | uri | "note" | |||||||
| value[x] |
0..1 | string | Note
| |||||||
| title |
1..1 | string | Title
| |||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern:
| |||||||
| text |
0..1 | Narrative | GeneratedNarrative
| |||||||
| Slices for entry |
0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||
| Slices for entry |
Content/Rules for all slices | |||||||||
| entry:deviceStatement |
0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | |||||||
| emptyReason |
0..1 | CodeableConcept | EmptyReason
| |||||||
| Documentation for this format | ||||||||||
| Id | Grade | Path(s) | Description | Expression |
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation This profile also imposes the profile Composition (EPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| value[x] |
0..1 | string | Version
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | Identifier
| |||||||||||
| status |
1..1 | code | Status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | ServiceSpecialty Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
| |||||||||||
| subject |
1..1 | Reference(nl core Patient) | Patient
| |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | Date
| |||||||||||
| author |
1..* | Reference(nl core Device | nl core Practitioner | nl core PractitionerRole | nl core Patient | nl core Organization | RelatedPerson) | Author
| |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||||||||
| time |
0..1 | dateTime | When the composition was attested | |||||||||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | legalAuthentication | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole | nl core Organization) | legalAuthenticator
| |||||||||||
| attester:validator |
0..* | BackboneElement | Validator | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed)
| |||||||||||
| time |
1..1 | dateTime | DateTime
| |||||||||||
| party |
1..1 | Reference(nl core Practitioner | nl core PractitionerRole) | validator
| |||||||||||
| custodian |
0..1 | Reference(nl core Organization) | Organization
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition) | |||||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | EventType Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Period
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Problems Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Condition | DocumentReference) | Condition Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(nl core Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | AllergiesAndIntolerances Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core AllergyIntolerance | DocumentReference) | AllergyIntolerance Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(nl core AllergyIntolerance) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | MedicationSummary Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | Procedures Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core Procedure | DocumentReference) | Procedure Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(nl core Procedure) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | MedicalDevicesAndImplants Constraints: cmp-1, cmp-2, nl-ps-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:note |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| url |
1..1 | uri | "note" | |||||||||||
| value[x] |
0..1 | string | Note
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Title
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern:
| |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 0..1 | Narrative | GeneratedNarrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(nl core DeviceUse | DocumentReference) | DeviceUse Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(nl core DeviceUse) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | EmptyReason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| nl-ps-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
Summary
Mandatory: 17 elements(4 nested mandatory elements)
Must-Support: 54 elements
Fixed: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ Nictiz.
Package nictiz.nl.nlps#1.0.0-alpha.2 based on FHIR 4.0.1.
Generated
2026-10-27
Links: Table of Contents |
QA Report |
|
Questions and change requests
