HL7 Czech Base and Core FHIR IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
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Resource Profile: Composition (CZ core)

This profile introduces essential constraints and extensions for the Composition resource for commonly used in the Czech national EHDS compliant documents.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of document/report (e.g. imaging report LOINC) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
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. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
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. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (CZ core))	Organization which maintains the composition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension				Content/Rules for all slices
extension:informationRecipient		0..*	InformationRecipient	Composition: Information recipient
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	DiagnosticReportReference	Document DiagnosticReport Reference
extension		0..0		Extension
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
subject		1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
author		1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
attester		0..*	BackboneElement	Attests to accuracy of composition
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian		0..1	Reference(Organization (CZ core))	Organization which maintains the composition
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	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 composition content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x]		0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of document/report (e.g. imaging report LOINC) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester: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
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		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (CZ core))	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	Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Event period
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..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	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
• DiagnosticReport (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/diagnosticReport-cz-core)
• Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of document/report (e.g. imaging report LOINC) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
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. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
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. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (CZ core))	Organization which maintains the composition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension				Content/Rules for all slices
extension:informationRecipient		0..*	InformationRecipient	Composition: Information recipient
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	DiagnosticReportReference	Document DiagnosticReport Reference
extension		0..0		Extension
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
subject		1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
author		1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
attester		0..*	BackboneElement	Attests to accuracy of composition
party		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian		0..1	Reference(Organization (CZ core))	Organization which maintains the composition
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CompositionEuCore	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 composition content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	(Complex)	R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x]		0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient		0..*	(Complex)	Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x]		0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Value of extension
extension:diagnosticReport		0..1	(Complex)	Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference"
value[x]		0..1	Reference(DiagnosticReport (CZ core))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Report identifier
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type of document/report (e.g. imaging report LOINC) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient (CZ core) | Group | Location (CZ core) | Device)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Device | Patient (CZ core) | Related Person (CZ core))	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester: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
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		0..1	Reference(Patient (CZ core) | Related Person (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core))	Who attested the composition
attester:legalAuthenticator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
attester:validator		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core))	Who attested the composition
custodian	Σ	0..1	Reference(Organization (CZ core))	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	Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Event period
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:section-note		0..*	Annotation	Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..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	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**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()

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
• DiagnosticReport (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/diagnosticReport-cz-core)
• Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)

Other representations of profile: CSV, Excel, Schematron