Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: EvidenceReportPackage

Profile of Composition for Evidence Based Medicine IG. The EvidenceReportPackage Profile is used for a base structure to extend the EvidenceReport Profile with optional sections for Introduction, Discussion, Methods, References, Competing Interests, Acknowledgements, and Appendices.

Usage:

• Derived from this Resource Profile: ComparativeEvidenceReport, ComparativeEvidenceSynthesisReport, Guideline, Recommendation and SummaryOfNetEffect
• Examples for this Resource Profile: Composition/179465

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 EvidenceReport

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	EvidenceReport	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for section		0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding
section:introduction	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: introduction
display		1..1	string	Representation defined by the system Fixed Value: Introduction
section:discussion	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: discussion
display		1..1	string	Representation defined by the system Fixed Value: Discussion
section:methods	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: methods
display		1..1	string	Representation defined by the system Fixed Value: Methods
section:references	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: references
display		1..1	string	Representation defined by the system Fixed Value: References
entry		0..*	Reference(Citation)	A reference to data that supports this section
section:competingInterests	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: competing-interests
display		1..1	string	Representation defined by the system Fixed Value: Competing Interests
section:acknowledgements	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acknowledgements
display		1..1	string	Representation defined by the system Fixed Value: Acknowledgements
section:appendices	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: appendices
display		1..1	string	Representation defined by the system Fixed Value: Appendices
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	EvidenceReport	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
versionAlgorithm		0..1	string, Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate		0..1	date	When the resource was approved by publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-approvalDate
lastReviewDate		0..1	date	When the resource was last reviewed by the publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-lastReviewDate
effectivePeriod		0..1	Period	When the resource is expected to be used URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-effectivePeriod
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	0..1	Reference(Citation | Classification | EvidenceReportSubject | ResearchStudy)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents Slice: Unordered, Open by value:label
relatesTo:citeAs		0..1	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: cite-as
label		1..1	string	Short label Required Pattern: Cite as
relatesTo:partOf		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: part-of
label		1..1	string	Short label Required Pattern: Part of
relatesTo:derivedFrom		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: derived-from
label		1..1	string	Short label Required Pattern: Derived from
relatesTo:specificationOfOriginal		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: specification-of
label		1..1	string	Short label Required Pattern: Original publication
Slices for section	C	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:introduction	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:discussion	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:methods	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:references	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Citation)	A reference to data that supports this section
section:competingInterests	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:acknowledgements	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:appendices	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot2 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.relatesTo:citeAs.type	required	Pattern: cite-as http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.type	required	Pattern: part-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.type	required	Pattern: derived-from http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.type	required	Pattern: specification-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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..*	EvidenceReport	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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
versionAlgorithm		0..1	string, Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate		0..1	date	When the resource was approved by publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-approvalDate
lastReviewDate		0..1	date	When the resource was last reviewed by the publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-lastReviewDate
effectivePeriod		0..1	Period	When the resource is expected to be used URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-effectivePeriod
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifier of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Citation | Classification | EvidenceReportSubject | ResearchStudy)	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
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Evidence Report Contributor Role Value Set (preferred)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents Slice: Unordered, Open by value:label
relatesTo:citeAs		0..1	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: cite-as
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Cite as
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:partOf		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: part-of
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Part of
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:derivedFrom		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: derived-from
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Derived from
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:specificationOfOriginal		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: specification-of
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Original publication
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
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
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
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
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		0..*	See section (Composition)	Nested Section
section:introduction	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: introduction
display		1..1	string	Representation defined by the system Fixed Value: Introduction
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
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		0..*	See section (Composition)	Nested Section
section:discussion	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: discussion
display		1..1	string	Representation defined by the system Fixed Value: Discussion
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
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		0..*	See section (Composition)	Nested Section
section:methods	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: methods
display		1..1	string	Representation defined by the system Fixed Value: Methods
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
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		0..*	See section (Composition)	Nested Section
section:references	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: references
display		1..1	string	Representation defined by the system Fixed Value: References
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Citation)	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		0..*	See section (Composition)	Nested Section
section:competingInterests	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: competing-interests
display		1..1	string	Representation defined by the system Fixed Value: Competing Interests
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
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		0..*	See section (Composition)	Nested Section
section:acknowledgements	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acknowledgements
display		1..1	string	Representation defined by the system Fixed Value: Acknowledgements
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
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		0..*	See section (Composition)	Nested Section
section:appendices	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: appendices
display		1..1	string	Representation defined by the system Fixed Value: Appendices
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
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		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot2 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category from the FHIR Standard
Composition.attester.mode	preferred	EvidenceReportContributorRole http://hl7.org/fhir/uv/ebm/ValueSet/evidence-report-contributor-role from this IG
Composition.relatesTo:citeAs.type	required	Pattern: cite-as http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:citeAs.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:citeAs.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.type	required	Pattern: part-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:partOf.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.type	required	Pattern: derived-from http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:derivedFrom.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.type	required	Pattern: specification-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:introduction.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:introduction.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:introduction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:discussion.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:discussion.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:discussion.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:methods.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:methods.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:methods.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:references.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:references.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:references.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:competingInterests.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:competingInterests.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:competingInterests.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:acknowledgements.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:acknowledgements.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:acknowledgements.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:appendices.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:appendices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:appendices.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 EvidenceReport

Summary

Mandatory: 0 element(7 nested mandatory elements)
Must-Support: 7 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

Maturity: 1

Differential View

This structure is derived from EvidenceReport

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	EvidenceReport	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for section		0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding
section:introduction	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: introduction
display		1..1	string	Representation defined by the system Fixed Value: Introduction
section:discussion	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: discussion
display		1..1	string	Representation defined by the system Fixed Value: Discussion
section:methods	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: methods
display		1..1	string	Representation defined by the system Fixed Value: Methods
section:references	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: references
display		1..1	string	Representation defined by the system Fixed Value: References
entry		0..*	Reference(Citation)	A reference to data that supports this section
section:competingInterests	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: competing-interests
display		1..1	string	Representation defined by the system Fixed Value: Competing Interests
section:acknowledgements	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acknowledgements
display		1..1	string	Representation defined by the system Fixed Value: Acknowledgements
section:appendices	S	0..1	BackboneElement	Composition is broken into sections
code
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
code		1..1	code	Symbol in syntax defined by the system Fixed Value: appendices
display		1..1	string	Representation defined by the system Fixed Value: Appendices
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	EvidenceReport	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
versionAlgorithm		0..1	string, Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate		0..1	date	When the resource was approved by publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-approvalDate
lastReviewDate		0..1	date	When the resource was last reviewed by the publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-lastReviewDate
effectivePeriod		0..1	Period	When the resource is expected to be used URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-effectivePeriod
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	0..1	Reference(Citation | Classification | EvidenceReportSubject | ResearchStudy)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents Slice: Unordered, Open by value:label
relatesTo:citeAs		0..1	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: cite-as
label		1..1	string	Short label Required Pattern: Cite as
relatesTo:partOf		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: part-of
label		1..1	string	Short label Required Pattern: Part of
relatesTo:derivedFrom		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: derived-from
label		1..1	string	Short label Required Pattern: Derived from
relatesTo:specificationOfOriginal		0..*	RelatedArtifact	Relationships to other compositions/documents
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: specification-of
label		1..1	string	Short label Required Pattern: Original publication
Slices for section	C	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:introduction	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:discussion	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:methods	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:references	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Citation)	A reference to data that supports this section
section:competingInterests	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:acknowledgements	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:appendices	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot2 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.relatesTo:citeAs.type	required	Pattern: cite-as http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.type	required	Pattern: part-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.type	required	Pattern: derived-from http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.type	required	Pattern: specification-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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..*	EvidenceReport	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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
versionAlgorithm		0..1	string, Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate		0..1	date	When the resource was approved by publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-approvalDate
lastReviewDate		0..1	date	When the resource was last reviewed by the publisher URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-lastReviewDate
effectivePeriod		0..1	Period	When the resource is expected to be used URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-effectivePeriod
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifier of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Citation | Classification | EvidenceReportSubject | ResearchStudy)	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
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Evidence Report Contributor Role Value Set (preferred)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents Slice: Unordered, Open by value:label
relatesTo:citeAs		0..1	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: cite-as
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Cite as
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:partOf		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: part-of
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Part of
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:derivedFrom		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: derived-from
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Derived from
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
relatesTo:specificationOfOriginal		0..*	RelatedArtifact	Relationships to other compositions/documents
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Required Pattern: specification-of
classifier		0..*	CodeableConcept	Additional classifiers Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
label		1..1	string	Short label Required Pattern: Original publication
display		0..1	string	Brief description of the related artifact
citation		0..1	markdown	Bibliographic citation for the artifact
document		0..1	Attachment	What document is being referenced
resource		0..1	canonical(Resource)	What artifact is being referenced
resourceReference		0..1	Reference(Resource)	What artifact, if not a conformance resource
publicationStatus		0..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): Publication status of an artifact being referred to.
publicationDate		0..1	date	Date of publication of the artifact being referred to
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
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Slices for section	C	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code.coding cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
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
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		0..*	See section (Composition)	Nested Section
section:introduction	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: introduction
display		1..1	string	Representation defined by the system Fixed Value: Introduction
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
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		0..*	See section (Composition)	Nested Section
section:discussion	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: discussion
display		1..1	string	Representation defined by the system Fixed Value: Discussion
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
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		0..*	See section (Composition)	Nested Section
section:methods	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: methods
display		1..1	string	Representation defined by the system Fixed Value: Methods
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
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		0..*	See section (Composition)	Nested Section
section:references	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: references
display		1..1	string	Representation defined by the system Fixed Value: References
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
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Citation)	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		0..*	See section (Composition)	Nested Section
section:competingInterests	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: competing-interests
display		1..1	string	Representation defined by the system Fixed Value: Competing Interests
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
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		0..*	See section (Composition)	Nested Section
section:acknowledgements	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acknowledgements
display		1..1	string	Representation defined by the system Fixed Value: Acknowledgements
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
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		0..*	See section (Composition)	Nested Section
section:appendices	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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: EvidenceReportSectionCode Value Set (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: appendices
display		1..1	string	Representation defined by the system Fixed Value: Appendices
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
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		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2 from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot2 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category from the FHIR Standard
Composition.attester.mode	preferred	EvidenceReportContributorRole http://hl7.org/fhir/uv/ebm/ValueSet/evidence-report-contributor-role from this IG
Composition.relatesTo:citeAs.type	required	Pattern: cite-as http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:citeAs.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:citeAs.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.type	required	Pattern: part-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:partOf.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:partOf.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.type	required	Pattern: derived-from http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:derivedFrom.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:derivedFrom.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.type	required	Pattern: specification-of http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot2 from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.classifier	example	CitationArtifactClassifier http://hl7.org/fhir/ValueSet/citation-artifact-classifier from the FHIR Standard
Composition.relatesTo:specificationOfOriginal.publicationStatus	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot2 from the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:introduction.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:introduction.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:introduction.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:discussion.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:discussion.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:discussion.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:methods.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:methods.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:methods.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:references.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:references.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:references.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:competingInterests.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:competingInterests.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:competingInterests.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:acknowledgements.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:acknowledgements.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:acknowledgements.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:appendices.code	extensible	EvidenceReportSectionCode_Value_Set https://fevir.net/resources/ValueSet/179431 from this IG
Composition.section:appendices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:appendices.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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:introduction, Composition.section:discussion, Composition.section:methods, Composition.section:references, Composition.section:competingInterests, Composition.section:acknowledgements, Composition.section:appendices	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 EvidenceReport

Summary

Mandatory: 0 element(7 nested mandatory elements)
Must-Support: 7 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

Maturity: 1