FHIR Clinical Documents
1.1.0 - STU 1.1 International flag

This page is part of the FHIR Clinical Documents (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Change Log

Page standards status: Informative

STU 1.1 - STU update to support US Patient Clinical Summary

This STU update is focused on increasing the flexibility of the FHIR Clinical Document Composition Profile, specifically to support the United States Patient Clinical Summary, which requires additional flexibility to better align with the FHIR International Patient Summary. Specific changes to the profile are listed below:

Element Change
Composition.language Removed MS Flag
Composition.extension:R5-Composition-version Removed MS Flag
Composition.extension:data-enterer Removed MS Flag
Composition.extension:informant Removed MS Flag
Composition.extension:information-recipient Removed MS Flag
Composition.extension:consent Removed MS Flag
Composition.extension:basedOn Removed MS Flag
Composition.extension:change-made Removed MS Flag
Composition.modifierExtension:R5-Composition-status Removed MS Flag, corrected location to Composition.status, and corrected inclusion from modifierExtension to extension
Composition.identifier Removed MS Flag
Composition.status Upgraded to MS since cardinality in base Composition resource is 1..1
Composition.category Removed MS Flag and adjusted cardinality to 0..*
Composition.category:clinicalnotecategory Removed MS Flag and adjusted cardinality to 0..1
Composition.attester Removed MS Flag
Composition.attester.mode Removed MS Flag
Composition.attester.time Removed MS Flag
Composition.attester.party Removed MS Flag
Composition.attester:legal_attester Removed MS Flag
Composition.attester:professional_attester Removed MS Flag
Composition.relatesTo Removed MS Flag
Composition.relatesTo:replaced_document Removed MS Flag
Composition.relatesTo:appended_document Removed MS Flag
Composition.section.extension:change-made Removed MS Flag

The specific tickets addressed in the 1.1.0 release include:

  • R5 status extension is not a modifier extension FHIR-56919
  • Revise and Move the Must Support Definition FHIR-57232
  • Update MS Selections FHIR-57233
  • Move Status Extension to Proper location FHIR-57234
  • Conformance table and bolding of conformance FHIR-57343
  • Add MustSupport flags to mandatory Bundle elementsFHIR-57344
  • Clarify and consistently apply MustSupport FHIR-57371
  • Add guidance on R5-Composition-status FHIR-57468

STU 1.0.1 - Technical Correction

Jira Tickets

Jira Ticket Change Description
FHIR-53879 FHIR Clinical Document Composition Profile: Composition.category slicing fix
FHIR-47246 Remove Addendum from opening sentence