FHIR Clinical Documents
1.0.0 - STU 1
FHIR Clinical Documents
1.0.0 - STU 1
This page is part of the FHIR Clinical Documents (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade | Version: 1.0.0 | |||
| Standards status: Informative | Computable Name: ChangeMade | |||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Context of Use
This extension may be used on the following element(s)
Composition
Usage info
Usages:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Change Made | |
  extension |
2..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:change |
1..1 | Extension | Annotation of a change. | |
  extension |
0..0 | |||
| url |
1..1 | uri | "change" | |
  value[x] |
1..1 | Annotation | Value of extension | |
 extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
 extension |
0..0 | |||
| url |
1..1 | uri | "version-changed" | |
 value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Change Made | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:change |
1..1 | Extension | Annotation of a change. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Change Made | |
| extension |
2..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:change |
1..1 | Extension | Annotation of a change. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Change Made | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:change |
1..1 | Extension | Annotation of a change. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Other representations of profile: CSV, Excel, Schematron
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
IG © 2024+ HL7 International / Structured Documents. Package hl7.fhir.uv.fhir-clinical-document#1.0.0 based on FHIR 4.0.1. Generated 2025-06-26
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