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This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

The official URL for this profile is:
http://hl7.org/fhir/StructureDefinition/measurereport
A set of resources composed into a single coherent clinical statement with clinical attestation
This profile was published on Fri, Jan 31, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - Clinical Quality Information WG.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Composition.
This structure is derived from Composition.
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() | 0..1 | Identifier | Logical identifier of composition (version-independent) | |
![]() ![]() | 1..1 | dateTime | Composition editing time | |
![]() ![]() | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) | |
![]() ![]() | 0..1 | CodeableConcept | Categorization of Composition | |
![]() ![]() | 1..1 | string | Human Readable name/title | |
![]() ![]() | 1..1 | code | preliminary | final | appended | amended | entered-in-error | |
![]() ![]() | 1..1 | code | As defined by affinity domain | |
![]() ![]() | 1..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |
![]() ![]() | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition | |
![]() ![]() | 0..* | BackboneElement | Attests to accuracy of composition | |
![]() ![]() ![]() | 1..* | code | personal | professional | legal | official | |
![]() ![]() ![]() | 0..1 | dateTime | When composition attested | |
![]() ![]() ![]() | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition | |
![]() ![]() | 0..1 | Reference(Organization) | Org which maintains the composition | |
![]() ![]() | S | 0..0 | ||
![]() ![]() | S | 0..0 | ||
![]() ![]() | 0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() | 0..1 | string | Label for section | |
![]() ![]() ![]() | 1..1 | Reference(Observation) | The Content of the section | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() | ∑ | 0..1 | Meta | Metadata about the resource |
![]() ![]() | ?! ∑ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() | 0..1 | code | Language of the resource content Binding: IETF BCP-47 (required) | |
![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() | ∑ | 0..1 | Identifier | Logical identifier of composition (version-independent) |
![]() ![]() | ∑ | 1..1 | dateTime | Composition editing time |
![]() ![]() | ∑ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred) |
![]() ![]() | ∑ | 0..1 | CodeableConcept | Categorization of Composition Binding: FHIR Document Class Codes (example) |
![]() ![]() | ∑ | 1..1 | string | Human Readable name/title |
![]() ![]() | ?! ∑ | 1..1 | code | preliminary | final | appended | amended | entered-in-error Binding: CompositionStatus (required) |
![]() ![]() | ?! ∑ | 1..1 | code | As defined by affinity domain Binding: v3 Code System Confidentiality (required) |
![]() ![]() | ∑ | 1..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about |
![]() ![]() | ∑ | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() | ∑ | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ∑ | 1..* | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
![]() ![]() ![]() | ∑ | 0..1 | dateTime | When composition attested |
![]() ![]() ![]() | ∑ | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition |
![]() ![]() | ∑ | 0..1 | Reference(Organization) | Org which maintains the composition |
![]() ![]() | I | 0..* | BackboneElement | Composition is broken into sections cmp-2: A section can only have an emptyReason if it is empty cmp-1: A section must at least one of text, entries, or sub-sections |
![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | 0..1 | string | Label for section | |
![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example) | |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() | ?! ∑ | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
![]() ![]() ![]() | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred) | |
![]() ![]() ![]() | I | 1..1 | Reference(Observation) | The Content of the section |
![]() ![]() ![]() | I | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred) |
![]() ![]() ![]() | I | 0..* | See Composition.section | Nested Section |
Documentation for this format | ||||
todo
This structure is derived from Composition.
Differential View
This structure is derived from Composition.
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() | 0..1 | Identifier | Logical identifier of composition (version-independent) | |
![]() ![]() | 1..1 | dateTime | Composition editing time | |
![]() ![]() | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) | |
![]() ![]() | 0..1 | CodeableConcept | Categorization of Composition | |
![]() ![]() | 1..1 | string | Human Readable name/title | |
![]() ![]() | 1..1 | code | preliminary | final | appended | amended | entered-in-error | |
![]() ![]() | 1..1 | code | As defined by affinity domain | |
![]() ![]() | 1..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |
![]() ![]() | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition | |
![]() ![]() | 0..* | BackboneElement | Attests to accuracy of composition | |
![]() ![]() ![]() | 1..* | code | personal | professional | legal | official | |
![]() ![]() ![]() | 0..1 | dateTime | When composition attested | |
![]() ![]() ![]() | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition | |
![]() ![]() | 0..1 | Reference(Organization) | Org which maintains the composition | |
![]() ![]() | S | 0..0 | ||
![]() ![]() | S | 0..0 | ||
![]() ![]() | 0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() | 0..1 | string | Label for section | |
![]() ![]() ![]() | 1..1 | Reference(Observation) | The Content of the section | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() | ∑ | 0..1 | Meta | Metadata about the resource |
![]() ![]() | ?! ∑ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() | 0..1 | code | Language of the resource content Binding: IETF BCP-47 (required) | |
![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() | ∑ | 0..1 | Identifier | Logical identifier of composition (version-independent) |
![]() ![]() | ∑ | 1..1 | dateTime | Composition editing time |
![]() ![]() | ∑ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred) |
![]() ![]() | ∑ | 0..1 | CodeableConcept | Categorization of Composition Binding: FHIR Document Class Codes (example) |
![]() ![]() | ∑ | 1..1 | string | Human Readable name/title |
![]() ![]() | ?! ∑ | 1..1 | code | preliminary | final | appended | amended | entered-in-error Binding: CompositionStatus (required) |
![]() ![]() | ?! ∑ | 1..1 | code | As defined by affinity domain Binding: v3 Code System Confidentiality (required) |
![]() ![]() | ∑ | 1..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about |
![]() ![]() | ∑ | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson) | Who and/or what authored the composition |
![]() ![]() | ∑ | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ∑ | 1..* | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
![]() ![]() ![]() | ∑ | 0..1 | dateTime | When composition attested |
![]() ![]() ![]() | ∑ | 0..1 | Reference(Patient | Practitioner | Organization) | Who attested the composition |
![]() ![]() | ∑ | 0..1 | Reference(Organization) | Org which maintains the composition |
![]() ![]() | I | 0..* | BackboneElement | Composition is broken into sections cmp-2: A section can only have an emptyReason if it is empty cmp-1: A section must at least one of text, entries, or sub-sections |
![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | 0..1 | string | Label for section | |
![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example) | |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() | ?! ∑ | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
![]() ![]() ![]() | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred) | |
![]() ![]() ![]() | I | 1..1 | Reference(Observation) | The Content of the section |
![]() ![]() ![]() | I | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred) |
![]() ![]() ![]() | I | 0..* | See Composition.section | Nested Section |
Documentation for this format | ||||
XML Template
JSON Template
todo
Other representations of profile: Schematron

| Path | Name | Conformance | ValueSet |
| Composition.language | ?ext | required | http://tools.ietf.org/html/bcp47 ![]() |
| Composition.type | FHIR Document Type Codes | preferred | FHIR Document Type Codes |
| Composition.class | FHIR Document Class Codes | example | FHIR Document Class Codes |
| Composition.status | CompositionStatus | required | CompositionStatus |
| Composition.confidentiality | v3 Code System Confidentiality | required | v3 Code System Confidentiality |
| Composition.attester.mode | CompositionAttestationMode | required | CompositionAttestationMode |
| Composition.section.code | Document Section Codes | example | Document Section Codes |
| Composition.section.mode | ListMode | required | ListMode |
| Composition.section.orderedBy | List Order Codes | preferred | List Order Codes |
| Composition.section.emptyReason | List Empty Reasons | preferred | List Empty Reasons |

| Id | Path | Details | Requirements |
| cmp-2 | Composition.section | A section can only have an emptyReason if it is empty XPath: not(exists(f:emptyReason) and exists(f:entry)) | |
| cmp-1 | Composition.section | A section must at least one of text, entries, or sub-sections XPath: exists(f:text) or exists(f:entry) or exists(f:section) |