<?xml version="1.0" encoding="UTF-8"?>
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/*
  Copyright (c) 2011+, HL7, Inc.
  All rights reserved.
  
  Redistribution and use in source and binary forms, with or without modification, 
  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
     list of conditions and the following disclaimer.
   * Redistributions in binary form must reproduce the above copyright notice, 
     this list of conditions and the following disclaimer in the documentation 
     and/or other materials provided with the distribution.
   * Neither the name of HL7 nor the names of its contributors may be used to 
     endorse or promote products derived from this software without specific 
     prior written permission.
  
  THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND 
  ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED 
  WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. 
  IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, 
  INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 
  NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 
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  ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE 
  POSSIBILITY OF SUCH DAMAGE.
  

  Generated on Mon, Mar 9, 2026 22:30+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="Composition" type="Composition">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="Composition">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="url" minOccurs="0" maxOccurs="1" type="uri">
            <xs:annotation>
              <xs:documentation xml:lang="en">An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="version" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">An explicitly assigned identifier of a variation of the content in the Composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="consent" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">References the consents associated with this document. Examples include a consent to perform the clinical service being documented (.event) or a consent for the information contained in the document to be released to a third party.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="basedOn" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A plan, proposal or order that is fulfilled in whole or in part by this composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="CompositionStatus">
            <xs:annotation>
              <xs:documentation xml:lang="en">The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="category" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subject" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="encounter" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Describes the clinical encounter or type of care this documentation is associated with.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="date" minOccurs="1" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The composition editing time, when the composition was last logically changed by the author.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="useContext" minOccurs="0" maxOccurs="unbounded" type="UsageContext">
            <xs:annotation>
              <xs:documentation xml:lang="en">The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="author" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies who is responsible for the information in the composition, not necessarily who typed it in.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="participant" type="Composition.Participant" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="name" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="title" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Official human-readable label for the composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">For any additional notes.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="attester" type="Composition.Attester" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">A participant who has attested to the accuracy of the composition/document.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="custodian" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="relatesTo" type="Composition.RelatesTo" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Relationships that this composition has with other compositions or documents (FHIR or non-FHIR resources) that already exist.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="event" type="Composition.Event" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">The clinical service, such as a colonoscopy or an appendectomy, being documented.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="section" type="Composition.Section" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">The root of the sections that make up the composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Composition.Participant">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="type" minOccurs="1" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="function" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Exact function of the participant in the creation of the clinical document. This is more granular than type.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="time" minOccurs="0" maxOccurs="1" type="Period">
            <xs:annotation>
              <xs:documentation xml:lang="en">Time period of participation.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="party" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Who the participant is.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Composition.Attester">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="mode" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of attestation the authenticator offers.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="time" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">When the composition was attested by the party.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="party" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Who attested the composition in the specified way.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Composition.RelatesTo">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="type" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of relationship to the related artifact.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="1" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">The artifact that is related to this Composition Resource.</xs:documentation>
            </xs:annotation>
            <xs:element name="targetUri" type="uri"/>
            <xs:element name="targetAttachment" type="Attachment"/>
            <xs:element name="targetCanonical" type="canonical"/>
            <xs:element name="targetReference" type="Reference"/>
            <xs:element name="targetMarkdown" type="markdown"/>
          </xs:choice>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Composition.Event">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="period" minOccurs="0" maxOccurs="1" type="Period">
            <xs:annotation>
              <xs:documentation xml:lang="en">The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="detail" minOccurs="0" maxOccurs="unbounded" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a &quot;History and Physical Report&quot; in which case the procedure being documented is necessarily a &quot;History and Physical&quot; act. The events may be included as a code or as a reference to an other resource.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Composition.Section">
    <xs:annotation>
      <xs:documentation xml:lang="en">A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="title" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="code" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code identifying the kind of content contained within the section. This must be consistent with the section title.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="author" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies who is responsible for the information in this section, not necessarily who typed it in.   

The actual author of the section when it is not the author of the composition. If author is not specified, the author is assumed to be the author of the parent section or the author of the composition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="focus" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="text" minOccurs="0" maxOccurs="1" type="Narrative">
            <xs:annotation>
              <xs:documentation xml:lang="en">A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">Information about the section contents that is not represented by any of the section entries.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="orderedBy" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Specifies the order applied to the items in the section entries.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="entry" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A reference to the actual resource from which the narrative in the section is derived.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="emptyReason" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="section" type="Composition.Section" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">A nested sub-section within this section.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="CompositionStatusEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="registered">
        <xs:annotation>
          <xs:documentation xml:lang="en">Registered</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="partial">
        <xs:annotation>
          <xs:documentation xml:lang="en">Partial</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="preliminary">
        <xs:annotation>
          <xs:documentation xml:lang="en">Preliminary</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="final">
        <xs:annotation>
          <xs:documentation xml:lang="en">Final</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="amended">
        <xs:annotation>
          <xs:documentation xml:lang="en">Amended</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="corrected">
        <xs:annotation>
          <xs:documentation xml:lang="en">Corrected</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="appended">
        <xs:annotation>
          <xs:documentation xml:lang="en">Appended</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="cancelled">
        <xs:annotation>
          <xs:documentation xml:lang="en">Cancelled</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="entered-in-error">
        <xs:annotation>
          <xs:documentation xml:lang="en">Entered in Error</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="deprecated">
        <xs:annotation>
          <xs:documentation xml:lang="en">Deprecated</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="unknown">
        <xs:annotation>
          <xs:documentation xml:lang="en">Unknown</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="CompositionStatus">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="CompositionStatusEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
