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

This page is part of the Medicolegal Death Investigation (MDI) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. 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
Active as of 2022-09-30				Computable Name: CompositionMDIToEDRS

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

Usage:

Use this Resource Profile: Bundle - Document MDI to EDRS
Examples for this Resource Profile: Composition/composition-mdi-to-edrs-a-freeman

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: 12 elements (2 nested mandatory elements)
Must-Support: 48 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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()

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-numbers	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	1..1	BackboneElement	The certifying Medical Examiner/Coroner (Certifier)
data-absent-reason	S	0..1	code	If attester is not yet named, use data absent reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
party	S	0..1	Reference(US Core Practitioner Profile)	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:additional-demographics	S	0..1	BackboneElement	This slice 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
text	S	0..1	string	Plain text representation of the concept
text	S	0..1	Narrative	Text summary of the section, for human interpretation
section:circumstances	S	1..1	BackboneElement	This slice 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:$this.resolve()
entry:death-location	S	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	S	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	S	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location		0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:jurisdiction	S	1..1	BackboneElement	This slice contains jurisdictional information about the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	S	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
entry:death-certification	S	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:cause-manner	S	1..1	BackboneElement	This slice 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:$this.resolve()
entry:cause	S	0..4	Reference(Observation - Cause of Death Part 1)	Up to 5 lines of cause of death.
entry:other-condition	S	0..*	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	S	0..*	Reference(US Core Condition Encounter Diagnosis Profile \| US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy	S	0..1	BackboneElement	This slice 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
text	S	0..1	Narrative	Description of autopsy findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	S	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
section:narratives	S	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
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
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Description & Constraints

Composition

0..*

Composition

A set of resources composed into a single coherent clinical statement with clinical attestation

0..1

Logical id of this artifact

category

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

0..1

Reference(Encounter)

Context of the Composition

date

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

1..1

string

Human Readable name/title

confidentiality

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

1..1

BackboneElement

The certifying Medical Examiner/Coroner (Certifier)

0..1

string

Unique id for inter-element referencing

data-absent-reason

0..1

code

If attester is not yet named, use data absent reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.

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

0..1

Reference(US Core Practitioner Profile)

Who attested the composition

custodian

0..1

Reference(Organization)

Organization which maintains the composition

relatesTo

0..*

BackboneElement

Relationships to other compositions/documents

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

0..*

BackboneElement

The clinical service(s) being documented

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

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

0..1

Period

The period covered by the documentation

detail

0..*

Reference(Resource)

The event(s) being documented

Slices for section

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

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..*

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

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

0..*

Reference(Resource)

A reference to data that supports this section

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:additional-demographics

0..1

BackboneElement

This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

text

SΣ

0..1

string

Plain text representation of the concept

author

0..*

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

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

0..*

Reference(Resource)

A reference to data that supports this section

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:circumstances

1..1

BackboneElement

This slice contains circumstances of the death.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

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

0..*

Reference(Resource)

Entries that are contained in the Circumstances section
Slice: Unordered, Open by profile:$this.resolve()

entry:death-location

0..*

Reference(Location - Death)

Apparent address where death actually occurred.

entry:tobacco-use-contributed-to-death

0..*

Reference(Observation - Tobacco Use Contributed to Death)

Whether or not tobacco use contributed to death.

entry:decedent-pregnancy

0..*

Reference(Observation - Decedent Pregnancy)

Pregnancy status of the decedent.

entry:injury-location

0..*

Reference(Location - Injury)

Apparent address where injury occurred.

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:jurisdiction

1..1

BackboneElement

This slice contains jurisdictional information about the death.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

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

0..*

Reference(Resource)

Entries that are contained in the Jurisdiction section
Slice: Unordered, Open by profile:$this.resolve()

entry:death-date

0..*

Reference(Observation - Death Date)

The estimated and pronounced date of death, also contains the death pronouncer practitioner

entry:death-certification

0..1

Reference(Procedure - Death Certification)

The procedure where the certification of death was performed by the certifier.

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:cause-manner

1..1

BackboneElement

This slice contains information about the cause and manner of death.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

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

0..*

Reference(Resource)

Entries that are contained in the Cause-Manner section
Slice: Unordered, Open by profile:$this.resolve()

entry:cause

0..4

Reference(Observation - Cause of Death Part 1)

Up to 5 lines of cause of death.

entry:other-condition

0..*

Reference(Observation - Contributing Cause of Death Part 2)

Other significant conditions contributing to death but not resulting in the underlying cause.

entry:manner

0..*

Reference(Observation - Manner of Death)

Manner of death.

entry:how-injury

0..*

Reference(Observation - How Death Injury Occurred)

Certified explanation of how injury occurred.

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:medical-history

1..1

BackboneElement

This slice contains relevant medical history about the decedent.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

0..1

Narrative

Narrative medical condition

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

0..*

Reference(Resource)

A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()

entry:history-condition

0..*

Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)

Coded medical conditions

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:exam-autopsy

0..1

BackboneElement

This slice contains exam and autopsy information.

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

1..1

CodeableConcept

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

0..1

Narrative

Description of autopsy findings

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

0..*

Reference(Resource)

A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()

entry:autopsy-performed

0..*

Reference(Observation - Autopsy Performed Indicator)

If autopsy was performed, if autopsy findings are available, and the autopsy Performer

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

0..*

See section (Composition)

Nested Section

section:narratives

0..1

BackboneElement

This slice contains additional death investigation narrative descriptions.

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.

Required Pattern: At least the following

0..1

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)

0..1

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..*

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

0..1

Narrative

Additional death investigation narrative descriptions.

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

0..*

Reference(Resource)

A reference to data that supports this section

emptyReason

0..1

CodeableConcept

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section

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-numbers		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		1..1	BackboneElement	The certifying Medical Examiner/Coroner (Certifier)
data-absent-reason		0..1	code	If attester is not yet named, use data absent reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
party		0..1	Reference(US Core Practitioner Profile)	Who attested the composition
Slices for section	C	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:additional-demographics	C	0..1	BackboneElement	This slice 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
text	Σ	0..1	string	Plain text representation of the concept
text	C	0..1	Narrative	Text summary of the section, for human interpretation
section:circumstances	C	1..1	BackboneElement	This slice 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	C	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	C	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	C	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	C	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:jurisdiction	C	1..1	BackboneElement	This slice contains jurisdictional information about the death.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	C	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	C	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
entry:death-certification	C	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:cause-manner	C	1..1	BackboneElement	This slice 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	C	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	C	0..4	Reference(Observation - Cause of Death Part 1)	Up to 5 lines of cause of death.
entry:other-condition	C	0..*	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	C	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	C	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:medical-history	C	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	C	0..1	Narrative	Narrative medical condition
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	C	0..*	Reference(US Core Condition Encounter Diagnosis Profile \| US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:exam-autopsy	C	0..1	BackboneElement	This slice 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
text	C	0..1	Narrative	Description of autopsy findings
entry:autopsy-performed	C	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
section:narratives	C	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
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
text	C	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 12 elements (2 nested mandatory elements)
Must-Support: 48 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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()

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-numbers	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	1..1	BackboneElement	The certifying Medical Examiner/Coroner (Certifier)
data-absent-reason	S	0..1	code	If attester is not yet named, use data absent reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
party	S	0..1	Reference(US Core Practitioner Profile)	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:additional-demographics	S	0..1	BackboneElement	This slice 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
text	S	0..1	string	Plain text representation of the concept
text	S	0..1	Narrative	Text summary of the section, for human interpretation
section:circumstances	S	1..1	BackboneElement	This slice 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:$this.resolve()
entry:death-location	S	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	S	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	S	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location		0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:jurisdiction	S	1..1	BackboneElement	This slice contains jurisdictional information about the death.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	S	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	S	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death, also contains the death pronouncer practitioner
entry:death-certification	S	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:cause-manner	S	1..1	BackboneElement	This slice 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:$this.resolve()
entry:cause	S	0..4	Reference(Observation - Cause of Death Part 1)	Up to 5 lines of cause of death.
entry:other-condition	S	0..*	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..*	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..*	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	S	0..*	Reference(US Core Condition Encounter Diagnosis Profile \| US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:exam-autopsy	S	0..1	BackboneElement	This slice 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
text	S	0..1	Narrative	Description of autopsy findings
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	S	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
section:narratives	S	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
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
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Snapshot View

Description & Constraints

Composition

0..*

Composition

A set of resources composed into a single coherent clinical statement with clinical attestation

0..1

Logical id of this artifact

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:additional-demographics.code	example	Pattern: demographics
Composition.section:additional-demographics.mode	required	ListMode
Composition.section:additional-demographics.orderedBy	preferred	ListOrderCodes
Composition.section:additional-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:additional-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:additional-demographics	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	error	Composition.section:additional-demographics	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:additional-demographics.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:additional-demographics.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:additional-demographics.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:additional-demographics.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Composition.section:additional-demographics.code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Composition.section:additional-demographics.code.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.code.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-demographics.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Composition.section:additional-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: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.entry:injury-location	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.entry:death-certification	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.entry:autopsy-performed	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())