This page is part of the Medicolegal Death Investigation (MDI) (v1.1.0: 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

• Content
• Detailed Descriptions
• Mappings
• Examples

Resource Profile: Composition - MDI and EDRS

This Composition profile represents data exchanged between an MDI CMS and an EDRS.

Usage:

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

Formal Views of Profile Content

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

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

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 (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	MDI and 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..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
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'. If no information for a required section, use emptyReason. 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
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:$this.resolve()
entry:cause	S	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	S	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$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
entry:autopsy-location	S	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
section:narratives	S	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
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: narratives
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
extension-tracking-numbers	S	0..*	Identifier	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and 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	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
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.
party	S	0..1	Reference(US Core Practitioner Profile)	Who attested the composition
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:additional-demographics	SC	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SΣ	0..1	string	Plain text representation of the concept
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
section:circumstances	SC	1..1	BackboneElement	This slice contains circumstances of the death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SC	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	SC	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SC	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:jurisdiction	SC	1..1	BackboneElement	This slice contains jurisdictional information about the death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SC	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death
entry:death-certification	SC	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:cause-manner	SC	1..1	BackboneElement	This slice contains information about the cause and manner of death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SC	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	SC	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SC	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SC	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:medical-history	SC	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	SC	0..1	Narrative	Narrative medical condition
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SC	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:exam-autopsy	SC	0..1	BackboneElement	This slice contains exam and autopsy information.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..1	Narrative	Description of autopsy findings
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	SC	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
entry:autopsy-location	SC	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
section:narratives	SC	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 86807-5
Composition.attester.mode	required	CompositionAttestationMode
Composition.section:additional-demographics.code	example	Pattern: demographics
Composition.section:circumstances.code	example	Pattern: circumstances
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons
Composition.section:jurisdiction.code	example	Pattern: jurisdiction
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons
Composition.section:cause-manner.code	example	Pattern: cause-manner
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons
Composition.section:medical-history.code	example	Pattern: medical-history
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy
Composition.section:narratives.code	example	Pattern: narratives

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, 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, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, Composition.section:narratives	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	**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()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	Identifier	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	S	0..1	Reference(US Core Practitioner Profile)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	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
section:additional-demographics	SC	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	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
section:circumstances	SC	1..1	BackboneElement	This slice contains circumstances of the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SC	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	SC	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SC	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	SC	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
section:jurisdiction	SC	1..1	BackboneElement	This slice contains jurisdictional information about the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SC	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death
entry:death-certification	SC	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	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
section:cause-manner	SC	1..1	BackboneElement	This slice contains information about the cause and manner of death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SC	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	SC	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SC	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SC	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	SC	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
section:medical-history	SC	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SC	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	SC	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
section:exam-autopsy	SC	0..1	BackboneElement	This slice contains exam and autopsy information.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	SC	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
entry:autopsy-location	SC	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
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
section:narratives	SC	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	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	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, 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, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, Composition.section:narratives	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	**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()

This structure is derived from Composition

Summary

Mandatory: 11 elements (3 nested mandatory elements)
Must-Support: 47 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• Location - Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Location-death)
• Observation - Tobacco Use Contributed to Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-tobacco-use-contributed-to-death)
• Observation - Decedent Pregnancy (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-decedent-pregnancy)
• Location - Injury (http://hl7.org/fhir/us/mdi/StructureDefinition/Location-injury)
• Observation - Death Date (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date)
• Procedure - Death Certification (http://hl7.org/fhir/us/mdi/StructureDefinition/Procedure-death-certification)
• Observation - Cause of Death Part 1 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-part1)
• Observation - Contributing Cause of Death Part 2 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-contributing-cause-of-death-part2)
• Observation - Manner of Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-manner-of-death)
• Observation - How Death Injury Occurred (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
• Observation - Autopsy Performed Indicator (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-autopsy-performed-indicator)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

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 (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	MDI and 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..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
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'. If no information for a required section, use emptyReason. 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
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:$this.resolve()
entry:cause	S	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	S	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	S	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	S	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	S	0..1	CodeableConcept	Why the section is empty
section:medical-history	S	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
code	S	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	S	0..1	Narrative	Narrative medical condition
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$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
entry:autopsy-location	S	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
section:narratives	S	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
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: narratives
text	S	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	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
extension-tracking-numbers	S	0..*	Identifier	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and 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	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
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.
party	S	0..1	Reference(US Core Practitioner Profile)	Who attested the composition
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:additional-demographics	SC	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SΣ	0..1	string	Plain text representation of the concept
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
section:circumstances	SC	1..1	BackboneElement	This slice contains circumstances of the death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SC	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	SC	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SC	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:jurisdiction	SC	1..1	BackboneElement	This slice contains jurisdictional information about the death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
Slices for entry	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SC	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death
entry:death-certification	SC	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:cause-manner	SC	1..1	BackboneElement	This slice contains information about the cause and manner of death.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SC	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	SC	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SC	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SC	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:medical-history	SC	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
text	SC	0..1	Narrative	Narrative medical condition
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SC	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:exam-autopsy	SC	0..1	BackboneElement	This slice contains exam and autopsy information.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..1	Narrative	Description of autopsy findings
Slices for entry	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	SC	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
entry:autopsy-location	SC	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
section:narratives	SC	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
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	SC	0..1	Narrative	Additional death investigation narrative descriptions.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 86807-5
Composition.attester.mode	required	CompositionAttestationMode
Composition.section:additional-demographics.code	example	Pattern: demographics
Composition.section:circumstances.code	example	Pattern: circumstances
Composition.section:circumstances.emptyReason	preferred	ListEmptyReasons
Composition.section:jurisdiction.code	example	Pattern: jurisdiction
Composition.section:jurisdiction.emptyReason	preferred	ListEmptyReasons
Composition.section:cause-manner.code	example	Pattern: cause-manner
Composition.section:cause-manner.emptyReason	preferred	ListEmptyReasons
Composition.section:medical-history.code	example	Pattern: medical-history
Composition.section:medical-history.emptyReason	preferred	ListEmptyReasons
Composition.section:exam-autopsy.code	example	Pattern: exam-autopsy
Composition.section:narratives.code	example	Pattern: narratives

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, 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, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, Composition.section:narratives	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	**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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-tracking-numbers	S	0..*	Identifier	A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	MDI and EDRS (Death administrative information Document) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86807-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the composition is the decedent.
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..1	Reference(US Core Practitioner Profile)	Death certifier. If the author is not available, explain using data-absent-reason Extension
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester	S	1..1	BackboneElement	Death certifier. If the attester is not available, explain using data-absent-reason Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	S	0..1	Reference(US Core Practitioner Profile)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason. Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	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
section:additional-demographics	SC	0..1	BackboneElement	This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: demographics
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	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
section:circumstances	SC	1..1	BackboneElement	This slice contains circumstances of the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: circumstances
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Circumstances section Slice: Unordered, Open by profile:$this.resolve()
entry:death-location	SC	0..*	Reference(Location - Death)	Apparent address where death actually occurred.
entry:tobacco-use-contributed-to-death	SC	0..*	Reference(Observation - Tobacco Use Contributed to Death)	Whether or not tobacco use contributed to death.
entry:decedent-pregnancy	SC	0..*	Reference(Observation - Decedent Pregnancy)	Pregnancy status of the decedent.
entry:injury-location	C	0..*	Reference(Location - Injury)	Apparent address where injury occurred.
emptyReason	SC	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
section:jurisdiction	SC	1..1	BackboneElement	This slice contains jurisdictional information about the death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: jurisdiction
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Jurisdiction section Slice: Unordered, Open by profile:$this.resolve()
entry:death-date	SC	0..*	Reference(Observation - Death Date)	The estimated and pronounced date of death
entry:death-certification	SC	0..1	Reference(Procedure - Death Certification)	The procedure where the certification of death was performed by the certifier.
emptyReason	SC	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
section:cause-manner	SC	1..1	BackboneElement	This slice contains information about the cause and manner of death.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cause-manner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	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	SC	0..*	Reference(Resource)	Entries that are contained in the Cause-Manner section Slice: Unordered, Open by profile:$this.resolve()
entry:cause	SC	0..4	Reference(Observation - Cause of Death Part 1)	Up to 4 lines of cause of death.
entry:other-condition	SC	0..1	Reference(Observation - Contributing Cause of Death Part 2)	Other significant conditions contributing to death but not resulting in the underlying cause.
entry:manner	SC	0..1	Reference(Observation - Manner of Death)	Manner of death.
entry:how-injury	SC	0..1	Reference(Observation - How Death Injury Occurred)	Certified explanation of how injury occurred.
emptyReason	SC	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
section:medical-history	SC	1..1	BackboneElement	This slice contains relevant medical history about the decedent.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:history-condition	SC	0..*	Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile)	Coded medical conditions
emptyReason	SC	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
section:exam-autopsy	SC	0..1	BackboneElement	This slice contains exam and autopsy information.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: exam-autopsy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	C	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:autopsy-performed	SC	0..*	Reference(Observation - Autopsy Performed Indicator)	If autopsy was performed, if autopsy findings are available, and the autopsy Performer
entry:autopsy-location	SC	0..*	Reference(US Core Organization Profile | US Core Location Profile)	If autopsy was performed, location
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
section:narratives	SC	0..1	BackboneElement	This slice contains additional death investigation narrative descriptions.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narratives
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	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	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	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, 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, Composition.section:additional-demographics, Composition.section:circumstances, Composition.section:jurisdiction, Composition.section:cause-manner, Composition.section:medical-history, Composition.section:exam-autopsy, Composition.section:narratives	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	**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()

This structure is derived from Composition

Summary

Mandatory: 11 elements (3 nested mandatory elements)
Must-Support: 47 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• Location - Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Location-death)
• Observation - Tobacco Use Contributed to Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-tobacco-use-contributed-to-death)
• Observation - Decedent Pregnancy (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-decedent-pregnancy)
• Location - Injury (http://hl7.org/fhir/us/mdi/StructureDefinition/Location-injury)
• Observation - Death Date (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date)
• Procedure - Death Certification (http://hl7.org/fhir/us/mdi/StructureDefinition/Procedure-death-certification)
• Observation - Cause of Death Part 1 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-part1)
• Observation - Contributing Cause of Death Part 2 (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-contributing-cause-of-death-part2)
• Observation - Manner of Death (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-manner-of-death)
• Observation - How Death Injury Occurred (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns)
• Observation - Autopsy Performed Indicator (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-autopsy-performed-indicator)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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