NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition TUDomainResourceA set of resources composed into a single coherent clinical statement with clinical attestation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
CompositionStatus (Required)
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
FHIR Document Type Codes (Preferred)
... category Σ0..*CodeableConceptCategorization of Composition
Document Class Value Set (Example)
... subject Σ0..1Reference(Any)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
V3 Value SetConfidentialityClassification (Required)
... attester 0..*BackboneElementAttests to accuracy of composition
.... mode 1..1codepersonal | professional | legal | official
CompositionAttestationMode (Required)
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... code 1..1codereplaces | transforms | signs | appends
DocumentRelationshipType (Required)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
v3 Code System ActCode (Example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Any)The event(s) being documented
... section I0..*BackboneElementComposition is broken into sections
+ Rule: A section must contain at least one of text, entries, or sub-sections
+ Rule: A section can only have an emptyReason if it is empty
.... title 0..1stringLabel for section (e.g. for ToC)
.... code 0..1CodeableConceptClassification of section (recommended)
Document Section Codes (Example)
.... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.... text I0..1NarrativeText summary of the section, for human interpretation
.... mode 0..1codeworking | snapshot | changes
ListMode (Required)
.... orderedBy 0..1CodeableConceptOrder of section entries
List Order Codes (Preferred)
.... entry I0..*Reference(Any)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
List Empty Reasons (Preferred)
.... section I0..*see sectionNested Section

doco Documentation for this format