Release 4B Ballot #1
FoundationThis page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| Structured Documents Work Group | Maturity Level: 2 | Trial Use | Compartments: N/A |
A client can ask a server to generate a fully bundled document from a composition resource. The server takes the composition resource, locates all the referenced resources and other additional resources as configured or requested and either returns a full document bundle, or returns an error. Note that since this is a search operation, the document bundle is wrapped inside the search bundle. If some of the resources are located on other servers, it is at the discretion of the server whether to retrieve them or return an error. If the correct version of the document that would be generated already exists, then the server can return the existing one.
The official URL for this operation definition is
http://hl7.org/fhir/OperationDefinition/Composition-document
Formal Definition (as a OperationDefinition).
URL: [base]/Composition/$document
URL: [base]/Composition/[id]/$document
This is an idempotent operation
| In Parameters: | |||||
| Name | Cardinality | Type | Binding | Profile | Documentation |
| id | 0..1 | uri | Identifies the composition to use. This can either be a simple id, which identifies a composition, or it can be a full URL, which identifies a composition on another server. Notes:
| ||
| persist | 0..1 | boolean | Whether to store the document at the bundle end-point (/Bundle) or not once it is generated. Value = true or false (default is for the server to decide). If the document is stored, it's location can be inferred from the Bundle.id, but it SHOULD be provided explicitly in the HTTP Location header in the response | ||
| graph | 0..1 | uri | Canonical reference to a GraphDefinition. If a URL is provided, it is the canonical reference to a GraphDefinition that it controls what resources are to be added to the bundle when building the document. The GraphDefinition can also specify profiles that apply to the various resources | ||
Note: this operation definition does not resolve the question how document signatures are created. This is an open issue during the period of trial use, and feedback is requested regarding this question
Request: Same, as a post request using the id parameter
GET http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57/$document?persist=true
POST http://fhir.healthintersections.com.au/open/Composition/$document
<Parameters xmlns="http://hl7.org/fhir">
<parameter>
<name value="persist"/>
<valueBoolean value="true"/>
</parameter>
<parameter>
<name value="id"/>
<valueUri value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
</parameter>
</Parameters>
Response:
HTTP/1.1 200 OK
[other headers]
<?xml version="1.0" encoding="UTF-8"?>
<Bundle>
xsi:schemaLocation="http://hl7.org/fhir ../../schema/bundle.xsd"
xmlns="http://hl7.org/fhir">
<id value="father"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<type value="document"/>
<timestamp value="2013-05-28T22:12:21Z"/>
<!-- The Composition resource -->
<entry>
<fullUrl value="http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<resource>
<Composition>
<id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
<text value="Discharge Summary from Responsible Clinician"/>
</type>
<subject>
<reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<display value="Eve Everywoman"/>
</subject>
<!-- The Encounter resource. Points directly to an Encounter resource. Contains the dates of admission, specialtyu etc. -->
<encounter>
<reference value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/>
</encounter>
<date value="2013-02-01T12:30:02Z"/>
<author>
<reference value="Practitioner/example"/>
<display value="Doctor Dave"/>
</author>
<title value="Discharge Summary"/>
<confidentiality value="N"/>
<section>
<title value="Reason for admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Details</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>
<td/>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
</entry>
</section>
<!-- Points to the medications on discharge -->
<section>
<title value="Medications on Discharge"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display value="Hospital discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Medication</td>
<td>Last Change</td>
<td>Last ChangeReason</td>
</tr>
</thead>
<tbody>
<tr>
<td>Theophylline 200mg BD after meals</td>
<td>continued</td>
</tr>
<tr>
<td>Ventolin Inhaler</td>
<td>stopped</td>
<td>Getting side effect of tremor</td>
</tr>
</tbody>
</table>
</div>
</text>
<mode value="working"/>
<!-- This is an entry that refers to a MedicationRequest resource in this document.
It is a new medication (as indicated by the flag) -->
<entry>
<reference value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
</entry>
<entry>
<reference value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
</entry>
</section>
<!-- Points to the allergies -->
<section>
<title value="Known allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Allergen</td>
<td>Reaction</td>
</tr>
</thead>
<tbody>
<tr>
<td>Doxycycline</td>
<td>Hives</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!-- The Practitioner Resource. In this document they are the author of the document
(There is a reference from the document resource). Note that, strictly, it doesn't need to be within the document as the
recipient knows where to go and get it if they need it - assuming it is available on-line of course. -->
<entry>
<fullUrl value="http://fhir.healthintersections.com.au/open/Practitioner/example"/>
<resource>
<Practitioner>
<id value="example"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Dr Adam Careful</p>
</div>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<!-- The Patient who is the subject of the document. Same coments as practitioner. -->
<entry>
<fullUrl value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<resource>
<Patient>
<id value="d1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<h1>Eve Everywoman</h1>
</div>
</text>
<active value="true"/>
<name>
<text value="Eve Everywoman"/>
<family value="Everywoman1"/>
<given value="Eve"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1955-01-06"/>
<address>
<use value="home"/>
<line value="2222 Home Street"/>
</address>
</Patient>
</resource>
</entry>
<!-- The encounter that is being documented. -->
<entry>
<fullUrl value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/>
<resource>
<Encounter>
<id value="doc-example"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service,
Middlemore Hospital between Jan 20 and Feb ist 2013 </div>
</text>
<identifier>
<value value="S100"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference value="Patient/d1"/>
</subject>
<period>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</period>
<hospitalization>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
<resource>
<Observation>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing
for days prior to admission. </div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46241-6"/>
</coding>
<text value="Reason for admission"/>
</code>
<subject>
<reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<display value="Eve Everywoman"/>
</subject>
<encounter>
<reference value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/>
</encounter>
<valueString value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
</Observation>
</resource>
</entry>
<!-- The first medication in the medications list -->
<entry>
<fullUrl value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
<resource>
<MedicationRequest>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<!-- The Human readible version of the script -->
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Theophylline 200mg twice a day</p>
</div>
</text>
<!-- The patient details will generally be in the Document resource in the Document bundle, but could just as easily
point to a patient resource on a server -->
<status value='unknown'/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</medicationCodeableConcept>
<subject>
<reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<display value="Peter Patient"/>
</subject>
<!-- The prescriber details could also be within the bundle, but has the same options as patient -->
<requester>
<reference value="Practitioner/example"/>
<display value="Peter Practitioner"/>
</requester>
<reasonCode>
<text value="Management of Asthma"/>
</reasonCode>
<!-- a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately
within the document bundle or simply a reference to a remote server. See comment in the contained resource -->
<dosageInstruction>
<additionalInstruction>
<text value="Take with Food"/>
</additionalInstruction>
<!-- twice a day -->
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<!-- Orally -->
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<!-- The second medication in the medications list -->
<entry>
<fullUrl value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
<resource>
<MedicationStatement>
<!-- The Human readible version of the medication statement -->
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Ventolin inhaler discontinued</p>
</div>
</text>
<!-- The patient details will generally be in the Document resource in the Document bundle, but could just as easily
point to a patient resource on a server -->
<status value='active'/>
<!-- a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately
within the document bundle or simply a reference to a remote server. See comment in the contained resource -->
<statusReason>
<text value="Management of Asthma"/>
</statusReason>
<medicationCodeableConcept>
<text value="Ventolin Inhaler"/>
</medicationCodeableConcept>
<subject>
<reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<display value="Peter Patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
</MedicationStatement>
</resource>
</entry>
<!-- The Allergy. -->
<entry>
<fullUrl value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
<resource>
<AllergyIntolerance>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline :
Hives</div>
</text>
<clinicalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
<display value="Eve Everywoman"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<coding>
<system value="http://example.org/system"/>
<code value="xxx"/>
<display value="Hives"/>
</coding>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
<display value="Author's Signature"/>
</type>
<when value="2015-08-31T07:42:33+10:00"/>
<who>
<reference value="Device/software"/>
</who>
<onBehalfOf>
<reference value="Organization/example"/>
</onBehalfOf>
<!-- a real document would typically have an digital signature, but
the publishing tools are not yet setup to produce a valid digital
signature. For now, an image of a signature -->
<sigFormat value="image/jpg"/>
<data 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"/>
</signature>
</Bundle>
For more information about operations, including how they are invoked, see Operations.
FHIR ®© HL7.org 2011+. FHIR R4B Ballot #1 hl7.fhir.core#4.1.0 generated on Thu, Mar 11, 2021 17:09+1100.
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