HL7.FHIR.US.MDI\Composition - MDI to EDRS

This page is part of the Medicolegal Death Investigation (MDI) (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Composition - MDI to EDRS

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-to-edrs				Version: 1.0.0-ballot
Active as of 2022-03-28				Computable Name: CompositionMDIToEDRS

This Composition profile represents data sent from an MDI information management system to an EDRS.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from Composition

Summary

Mandatory: 11 elements (4 nested mandatory elements)
Must-Support: 41 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of value:code
The element Composition.section.entry is sliced based on the value of profile:$this.resolve()
The element Composition.section.entry is sliced based on the value of profile:this.resolve()

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
Extension-tracking-number	S	0..*	Identifier	A tracking number, such as a case number or file number assigned by a case management system or EDRS. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
identifier	S	1..1	Identifier	System-generated identifier for this Composition.
status	S	1..1	code	preliminary \| final \| amended \| entered-in-error
type	S	1..1	CodeableConcept	MDI to EDRS (Death administrative information Document) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	S	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
author	S	1..*	Reference(US Core Practitioner Profile)	The author is the medical examiner/coroner (ME/C) responsible for the case. There can be multiple ME/Cs per case.
attester	S	0..*	BackboneElement	Attests to accuracy of composition
party	S	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. Slice: Unordered, Open by value:code
section:demographics	S	0..1	BackboneElement	This section contains demographic information about the decedent that is not represented in the decedent Patient profile.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the Demographics section Slice: Unordered, Open by profile:$this.resolve()
entry:decedent-occupation-industry	S	0..*	Reference(Usual Work)	The usual work industry and occupation of the decedent
section:circumstances	S	1..1	BackboneElement	This section contains circumstances of the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	S	0..*	Reference(US Core Location Profile)	Apparent address where death actually occurred.
entry:work-injury	S	0..*	Reference(Observation - Death Injury/Event Occurred at Work)	Whether or not death resulted from events/injury that occurred at work.
entry:tobacco-use-contributed-to-death	S	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	S	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
emptyReason		0..1	CodeableConcept	Why the section is empty
section:jurisdiction	S	1..1	BackboneElement	This section contains jurisdictional information about the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	S	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
emptyReason		0..1	CodeableConcept	Why the section is empty
section:cause-manner	S	1..1	BackboneElement	This section contains information about the cause and manner of death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	S	0..1	Reference(List - Cause of Death Pathway)	Up to 5 lines of cause of death.
entry:other-condition	S	0..*	Reference(Observation - Condition Contributing to Death)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason		0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This section contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	S	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy	S	0..1	BackboneElement	This section contains exam and autopsy information.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
section:narratives	S	0..1	BackboneElement	Composition is broken into sections
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
Slices for entry	S	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:this.resolve()
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Extension-tracking-number	S	0..*	Identifier	A tracking number, such as a case number or file number assigned by a case management system or EDRS. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	System-generated identifier for this Composition.
status	?!SΣ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI to EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core Practitioner Profile)	The author is the medical examiner/coroner (ME/C) responsible for the case. There can be multiple ME/Cs per case.
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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	S	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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	?!Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SI	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. Slice: Unordered, Open by value:code
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	?!Σ	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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:demographics	SI	0..1	BackboneElement	This section contains demographic information about the decedent that is not represented in the decedent Patient profile.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	1..*	Reference(Resource)	Entries that are contained in the Demographics section Slice: Unordered, Open by profile:$this.resolve()
entry:decedent-occupation-industry	SI	0..*	Reference(Usual Work)	The usual work industry and occupation of the decedent
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:circumstances	SI	1..1	BackboneElement	This section contains circumstances of the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SI	0..*	Reference(US Core Location Profile)	Apparent address where death actually occurred.
entry:work-injury	SI	0..*	Reference(Observation - Death Injury/Event Occurred at Work)	Whether or not death resulted from events/injury that occurred at work.
entry:tobacco-use-contributed-to-death	SI	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SI	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:jurisdiction	SI	1..1	BackboneElement	This section contains jurisdictional information about the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SI	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:cause-manner	SI	1..1	BackboneElement	This section contains information about the cause and manner of death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SI	0..1	Reference(List - Cause of Death Pathway)	Up to 5 lines of cause of death.
entry:other-condition	SI	0..*	Reference(Observation - Condition Contributing to Death)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SI	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SI	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:medical-history	SI	1..1	BackboneElement	This section contains relevant medical history about the decedent.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SI	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	SI	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:exam-autopsy	SI	0..1	BackboneElement	This section contains exam and autopsy information.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:narratives	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	1..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
Extension-tracking-number		0..*	Identifier	A tracking number, such as a case number or file number assigned by a case management system or EDRS. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
identifier	Σ	1..1	Identifier	System-generated identifier for this Composition.
status	?!Σ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	MDI to EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	Σ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
author	Σ	1..*	Reference(US Core Practitioner Profile)	The author is the medical examiner/coroner (ME/C) responsible for the case. There can be multiple ME/Cs per case.
attester		0..*	BackboneElement	Attests to accuracy of composition
party		0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
Slices for section	I	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. Slice: Unordered, Open by value:code
section:demographics	I	0..1	BackboneElement	This section contains demographic information about the decedent that is not represented in the decedent Patient profile.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
Slices for entry	I	1..*	Reference(Resource)	Entries that are contained in the Demographics section Slice: Unordered, Open by profile:$this.resolve()
entry:decedent-occupation-industry	I	0..*	Reference(Usual Work)	The usual work industry and occupation of the decedent
section:circumstances	I	1..1	BackboneElement	This section contains circumstances of the death.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	I	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	I	0..*	Reference(US Core Location Profile)	Apparent address where death actually occurred.
entry:work-injury	I	0..*	Reference(Observation - Death Injury/Event Occurred at Work)	Whether or not death resulted from events/injury that occurred at work.
entry:tobacco-use-contributed-to-death	I	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	I	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
section:jurisdiction	I	1..1	BackboneElement	This section contains jurisdictional information about the death.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	I	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	I	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
section:cause-manner	I	1..1	BackboneElement	This section contains information about the cause and manner of death.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	I	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	I	0..1	Reference(List - Cause of Death Pathway)	Up to 5 lines of cause of death.
entry:other-condition	I	0..*	Reference(Observation - Condition Contributing to Death)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	I	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	I	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
section:medical-history	I	1..1	BackboneElement	This section contains relevant medical history about the decedent.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
Slices for entry	I	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	I	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:exam-autopsy	I	0..1	BackboneElement	This section contains exam and autopsy information.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
section:narratives	I	0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
entry	I	1..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 11 elements (4 nested mandatory elements)
Must-Support: 41 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of value:code
The element Composition.section.entry is sliced based on the value of profile:$this.resolve()
The element Composition.section.entry is sliced based on the value of profile:this.resolve()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
Extension-tracking-number	S	0..*	Identifier	A tracking number, such as a case number or file number assigned by a case management system or EDRS. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
identifier	S	1..1	Identifier	System-generated identifier for this Composition.
status	S	1..1	code	preliminary \| final \| amended \| entered-in-error
type	S	1..1	CodeableConcept	MDI to EDRS (Death administrative information Document) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
subject	S	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
author	S	1..*	Reference(US Core Practitioner Profile)	The author is the medical examiner/coroner (ME/C) responsible for the case. There can be multiple ME/Cs per case.
attester	S	0..*	BackboneElement	Attests to accuracy of composition
party	S	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
Slices for section	S	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. Slice: Unordered, Open by value:code
section:demographics	S	0..1	BackboneElement	This section contains demographic information about the decedent that is not represented in the decedent Patient profile.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
Slices for entry	S	1..*	Reference(Resource)	Entries that are contained in the Demographics section Slice: Unordered, Open by profile:$this.resolve()
entry:decedent-occupation-industry	S	0..*	Reference(Usual Work)	The usual work industry and occupation of the decedent
section:circumstances	S	1..1	BackboneElement	This section contains circumstances of the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	S	0..*	Reference(US Core Location Profile)	Apparent address where death actually occurred.
entry:work-injury	S	0..*	Reference(Observation - Death Injury/Event Occurred at Work)	Whether or not death resulted from events/injury that occurred at work.
entry:tobacco-use-contributed-to-death	S	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	S	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
emptyReason		0..1	CodeableConcept	Why the section is empty
section:jurisdiction	S	1..1	BackboneElement	This section contains jurisdictional information about the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	S	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
emptyReason		0..1	CodeableConcept	Why the section is empty
section:cause-manner	S	1..1	BackboneElement	This section contains information about the cause and manner of death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	S	0..1	Reference(List - Cause of Death Pathway)	Up to 5 lines of cause of death.
entry:other-condition	S	0..*	Reference(Observation - Condition Contributing to Death)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason		0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This section contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	S	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy	S	0..1	BackboneElement	This section contains exam and autopsy information.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
section:narratives	S	0..1	BackboneElement	Composition is broken into sections
code	S	0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
Slices for entry	S	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:this.resolve()
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Extension-tracking-number	S	0..*	Identifier	A tracking number, such as a case number or file number assigned by a case management system or EDRS. URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	System-generated identifier for this Composition.
status	?!SΣ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI to EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core Practitioner Profile)	The author is the medical examiner/coroner (ME/C) responsible for the case. There can be multiple ME/Cs per case.
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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	S	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
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	?!Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SI	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. Slice: Unordered, Open by value:code
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	?!Σ	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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:demographics	SI	0..1	BackboneElement	This section contains demographic information about the decedent that is not represented in the decedent Patient profile.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	1..*	Reference(Resource)	Entries that are contained in the Demographics section Slice: Unordered, Open by profile:$this.resolve()
entry:decedent-occupation-industry	SI	0..*	Reference(Usual Work)	The usual work industry and occupation of the decedent
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:circumstances	SI	1..1	BackboneElement	This section contains circumstances of the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SI	0..*	Reference(US Core Location Profile)	Apparent address where death actually occurred.
entry:work-injury	SI	0..*	Reference(Observation - Death Injury/Event Occurred at Work)	Whether or not death resulted from events/injury that occurred at work.
entry:tobacco-use-contributed-to-death	SI	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SI	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:jurisdiction	SI	1..1	BackboneElement	This section contains jurisdictional information about the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SI	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:cause-manner	SI	1..1	BackboneElement	This section contains information about the cause and manner of death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SI	0..1	Reference(List - Cause of Death Pathway)	Up to 5 lines of cause of death.
entry:other-condition	SI	0..*	Reference(Observation - Condition Contributing to Death)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SI	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SI	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:medical-history	SI	1..1	BackboneElement	This section contains relevant medical history about the decedent.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SI	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	SI	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:exam-autopsy	SI	0..1	BackboneElement	This section contains exam and autopsy information.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:narratives	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	I	0..1	Narrative	Text summary of the section, for human interpretation
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	SI	1..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Max Binding: AllLanguages
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 86807-5
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:demographics.code	example	Pattern: demographics
Composition.section:demographics.mode	required	ListMode
Composition.section:demographics.orderedBy	preferred	ListOrderCodes
Composition.section:demographics.emptyReason	preferred	ListEmptyReasons
Composition.section:circumstances.code	example	Pattern: circumstances
Composition.section:circumstances.mode	required	ListMode
Composition.section:circumstances.orderedBy	preferred	ListOrderCodes
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons
Composition.section:jurisdiction.code	example	Pattern: jurisdiction
Composition.section:jurisdiction.mode	required	ListMode
Composition.section:jurisdiction.orderedBy	preferred	ListOrderCodes
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons
Composition.section:cause-manner.code	example	Pattern: cause-manner
Composition.section:cause-manner.mode	required	ListMode
Composition.section:cause-manner.orderedBy	preferred	ListOrderCodes
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons
Composition.section:medical-history.code	example	Pattern: medical-history
Composition.section:medical-history.mode	required	ListMode
Composition.section:medical-history.orderedBy	preferred	ListOrderCodes
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy
Composition.section:exam-autopsy.mode	required	ListMode
Composition.section:exam-autopsy.orderedBy	preferred	ListOrderCodes
Composition.section:exam-autopsy.emptyReason	preferred	ListEmptyReasons
Composition.section:narratives.code	example	Pattern: narratives
Composition.section:narratives.mode	required	ListMode
Composition.section:narratives.orderedBy	preferred	ListOrderCodes
Composition.section:narratives.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path	Details	Requirements
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	Composition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.extension:extension-tracking-numbers	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension:extension-tracking-numbers	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.confidentiality	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.attester.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.attester.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.attester.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.attester.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.attester.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.attester.time	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.attester.party	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.custodian	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.relatesTo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.relatesTo.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.relatesTo.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.relatesTo.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.relatesTo.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.relatesTo.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.relatesTo.target[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.event	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.event.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.event.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.event.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.event.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.event.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.event.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.event.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section	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	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:demographics	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:demographics	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:demographics	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:demographics.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:demographics.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:demographics.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:demographics.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.entry:decedent-occupation-industry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:demographics.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:circumstances	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:circumstances	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:circumstances	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:circumstances.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:circumstances.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:circumstances.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:circumstances.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.entry:death-location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.entry:work-injury	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.entry:tobacco-use-contributed-to-death	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.entry:decedent-pregnancy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:circumstances.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:jurisdiction	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:jurisdiction	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:jurisdiction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:jurisdiction.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:jurisdiction.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:jurisdiction.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:jurisdiction.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.entry:death-date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:jurisdiction.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:cause-manner	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:cause-manner	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:cause-manner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:cause-manner.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:cause-manner.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:cause-manner.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:cause-manner.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.entry:cause	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.entry:other-condition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.entry:manner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.entry:how-injury	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:cause-manner.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:medical-history	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:medical-history	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:medical-history	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:medical-history.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:medical-history.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:medical-history.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:medical-history.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.entry:history-condition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:medical-history.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:exam-autopsy	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:exam-autopsy	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:exam-autopsy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:exam-autopsy.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:exam-autopsy.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:exam-autopsy.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:exam-autopsy.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:exam-autopsy.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	error	Composition.section:narratives	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:narratives	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:narratives	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:narratives.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:narratives.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:narratives.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:narratives.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:narratives.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())