Name Flags Card. Type Description & Constraints doco
. . Composition DomainResource A set of resources composed into a single coherent clinical statement with clinical attestation
. . . identifier Σ 0..1 Identifier Logical identifier of composition (version-independent)
. . . date Σ 1..1 dateTime Composition editing time
. . . type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
FHIR Document Type Codes ( Preferred)
. . . class Σ 0..1 CodeableConcept Categorization of Composition
FHIR Document Class Codes ( Example)
. . . title Σ 1..1 string Human Readable name/title
. . . status ?! Σ 1..1 code preliminary | final | amended | entered-in-error
CompositionStatus ( Required)
. . . confidentiality ?! Σ 0..1 code As defined by affinity domain
ConfidentialityClassification ( Required)
. . . subject Σ 1..1 Reference( Any) Who and/or what the composition is about
. . . author Σ 1..* Reference( Practitioner | Device | Patient | RelatedPerson) Who and/or what authored the composition
. . . attester Σ 0..* BackboneElement Attests to accuracy of composition
. . . . mode Σ 1..* code personal | professional | legal | official
CompositionAttestationMode ( Required)
. . . . time Σ 0..1 dateTime When composition attested
. . . . party Σ 0..1 Reference( Patient | Practitioner | Organization) Who attested the composition
. . . custodian Σ 0..1 Reference( Organization) Organization which maintains the composition
. . . event Σ 0..* BackboneElement The clinical service(s) being documented
. . . . code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
v3 Code System ActCode ( Example)
. . . . period Σ 0..1 Period The period covered by the documentation
. . . . detail Σ 0..* Reference( Any) The event(s) being documented
. . . encounter Σ 0..1 Reference( Encounter) Context of the Composition
. . . section I 0..* BackboneElement Composition is broken into sections
A section must at least one of text, entries, or sub-sections
A section can only have an emptyReason if it is empty
. . . . title 0..1 string Label for section (e.g. for ToC)
. . . . code 0..1 CodeableConcept Classification of section (recommended)
Document Section Codes ( Example)
. . . . text I 0..1 Narrative Text summary of the section, for human interpretation
. . . . mode ?! Σ 0..1 code working | snapshot | changes
ListMode ( Required)
. . . . orderedBy 0..1 CodeableConcept Order of section entries
List Order Codes ( Preferred)
. . . . entry I 0..* Reference( Any) A reference to data that supports this section
. . . . emptyReason I 0..1 CodeableConcept Why the section is empty
List Empty Reasons ( Preferred)
. . . . section I 0..* see section Nested Section

doco Documentation for this format