Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R5_Composition_R4

This cross-version profile allows R5 Composition content to be represented via FHIR R4 Composition resources.

Usages:

• Refer to this Profile: R5: Reference to a Composition resource for the DiagnosticReport structure (new)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url Constraints: ext-1
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext Constraints: ext-1
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name Constraints: ext-1
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	tx.fhir.org
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.implicitRules, Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status, Composition.status.extension, Composition.status.extension:status, Composition.type, Composition.date, Composition.author, Composition.title	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:status	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition.
attester
mode
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:mode		0..1	CodeableConcept	R5: mode additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url Constraints: ext-1
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext Constraints: ext-1
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name Constraints: ext-1
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
value		0..1	string	Primitive value for code
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
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		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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:mode		0..1	CodeableConcept	R5: mode additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Constraints: ext-1
value		0..1	string	Primitive value for code
time		0..1	dateTime	When the composition was attested
party		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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (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
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	tx.fhir.org
Composition.status	Base	required	CompositionStatus	📍4.0.1	tx.fhir.org
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	tx.fhir.org
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.1
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
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, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension, Composition.status.extension:status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.mode.extension, Composition.attester.mode.extension:mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:status, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode.extension, Composition.attester.mode.extension:mode, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode|0.1.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url Constraints: ext-1
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext Constraints: ext-1
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name Constraints: ext-1
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	tx.fhir.org
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.implicitRules, Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status, Composition.status.extension, Composition.status.extension:status, Composition.type, Composition.date, Composition.author, Composition.title	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:status	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition.
attester
mode
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:mode		0..1	CodeableConcept	R5: mode additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition(4.0.1)	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:url		0..1	uri	R5: Canonical identifier for this Composition, represented as a URI (globally unique) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url Constraints: ext-1
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension:useContext		0..*	UsageContext	R5: The context that the content is intended to support (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext Constraints: ext-1
extension:name		0..1	string	R5: Name for this Composition (computer friendly) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name Constraints: ext-1
extension:note		0..*	Annotation	R5: For any additional notes (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R5: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
value		0..1	string	Primitive value for code
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
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		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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:mode		0..1	CodeableConcept	R5: mode additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition. Constraints: ext-1
value		0..1	string	Primitive value for code
time		0..1	dateTime	When the composition was attested
party		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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (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
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	tx.fhir.org
Composition.status	Base	required	CompositionStatus	📍4.0.1	tx.fhir.org
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	tx.fhir.org
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.1
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
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, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension, Composition.status.extension:status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.author, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.mode.extension, Composition.attester.mode.extension:mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:url, Composition.extension:version, Composition.extension:useContext, Composition.extension:name, Composition.extension:note, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:status, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode.extension, Composition.attester.mode.extension:mode, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Composition

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.url|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.useContext|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.name|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.note|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.attester.mode|0.1.0

Maturity: 0

Other representations of profile: CSV, Excel, Schematron