CH EMED (R4)
0.1.2 - CI build
CH EMED (R4)
0.1.2 - CI build
CH EMED (R4), published by eHealth Suisse. This is not an authorized publication; it is the continuous build for version 0.1.2). This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions
Definition of the composition for the medication prescription document
The official URL for this profile is:
http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationprescription
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHCoreCompositionEPR
Summary
Mandatory: 8 elements (5 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from CHCoreCompositionEPR
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | CHCoreCompositionEPR | CH EMED Medication Prescription Composition | |
  language | 1..1 | code | Language of the document | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:setId | 1..1 | EPRSetId | Set ID | |
| extension:versionNumber | 1..1 | EPRVersionNumber | Version number | |
| extension:informationRecipient | 1..* | EPRInformationRecipient | A recipient of this document (person or organization) | |
| extension:dataEnterer | 0..1 | EPRDataEnterer | Person who entered information into this document if it is a person other than the author | |
 identifier | 1..1 | Identifier | Identification number of the document | |
 system | 0..1 | uri | The namespace for the identifier value | |
 value | 0..1 | string | The value that is unique | |
| status | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final | |
| type | 1..1 | CodeableConcept | Document type Required Pattern: At least the following | |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 761938008 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Medical Prescription record (record artifact) | |
| subject | 1..1 | Reference(CH Core Composition Patient Profile EPR) | A patient for whom this document instance was created | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date | 1..1 | dateTime | The document's creation date and time | |
| author | 1..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the document (person or device) | |
 ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| title | 1..1 | string | 'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed | |
| confidentiality | 1..1 | code | As defined by affinity domain | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:confidentialityCode | 1..1 | EPRConfidentialityCode | Swiss realm of confidentiality code according to the Swiss EPR regulation | |
 attester | 0..* | (Slice Definition) | The authenticator of the document (person) Slice: Unordered, Open by value:mode | |
 attester:legalAuthenticator | 0..1 | BackboneElement | The legal authenticator of the document (person) | |
 mode | 1..1 | code | personal | professional | legal | official Fixed Value: legal | |
| time | 1..1 | dateTime | Timestamp of the signature | |
 party | 1..1 | Reference(CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile) | Who attested the composition | |
| custodian | 1..1 | Reference(CH Core Organization Profile EPR) | The organization in whose name the document has been created | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
 section:originalRepresentation | 1..1 | BackboneElement | Original representation | |
 title | 1..1 | string | Original representation | |
 code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55108-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation | |
| text | 1..1 | Narrative | Representation of the original view | |
 entry | 1..1 | Reference(Binary) | ||
| section | 0..0 | |||
| section:prescription | 1..1 | BackboneElement | Medication prescription | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:sectionId | 0..1 | EPRSectionId | Extension | |
| title | 1..1 | string | 'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57828-6 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: PRESCRIPTIONS | |
| author | 0..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the section (person or device) if different from the author/timestamp of the document | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| text | 1..1 | Narrative | Human readable text of this section | |
| entry | 1..* | Reference(CH EMED MedicationRequest Profile) | Medication request | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 0..0 | |||
| section:annotation | 0..1 | BackboneElement | Annotation | |
| title | 1..1 | string | 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Annotation comment | |
| text | 1..1 | Narrative | Human readable text of this section | |
| entry | 0..* | Reference(Resource) | General comments | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | CHCoreCompositionEPR | CH EMED Medication Prescription Composition | |
 id | Σ | 0..1 | string | 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 | 1..1 | code | Language of the document Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-setid | 1..1 | Identifier | Set ID URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid | |
| ch-ext-epr-versionnumber | 1..1 | unsignedInt | Version number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber | |
| ch-ext-epr-informationrecipient | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | A recipient of this document (person or organization) URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient | |
| ch-ext-epr-dataenterer | 0..1 | (Complex) | Person who entered information into this document if it is a person other than the author URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..1 | Identifier | Identification number of the document |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 0..1 | string | The value that is unique Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final |
| type | Σ | 1..1 | CodeableConcept | Document type Binding: DocumentEntry.typeCode (required): Precise type of clinical document. Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 761938008 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Medical Prescription record (record artifact) | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | Σ | 1..1 | Reference(CH Core Composition Patient Profile EPR) | A patient for whom this document instance was created |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | Σ | 1..1 | dateTime | The document's creation date and time |
| author | Σ | 1..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the document (person or device) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| title | Σ | 1..1 | string | 'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed |
| confidentiality | Σ | 1..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-confidentialitycode | 1..1 | CodeableConcept | Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (required) | |
| value | 0..1 | string | Primitive value for code | |
| attester | 0..* | (Slice Definition) | The authenticator of the document (person) Slice: Unordered, Open by value:mode | |
| attester:All Slices | Content/Rules for all slices | |||
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| time | 0..1 | dateTime | When the composition was attested | |
| party | 0..1 | Reference(CH Core Patient Profile | RelatedPerson | CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Organization Profile) | Who attested the composition | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| attester:legalAuthenticator | 0..1 | BackboneElement | The legal authenticator of the document (person) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | |
| time | 1..1 | dateTime | Timestamp of the signature | |
 party | 1..1 | Reference(CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile) | Who attested the composition | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| custodian | Σ | 1..1 | Reference(CH Core Organization Profile EPR) | The organization in whose name the document has been created |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
 target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. |
| period | Σ | 0..1 | Period | The period covered by the documentation |
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open by pattern:code |
| section:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-sectionid | 0..1 | Identifier | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | 0..1 | string | Label for section (e.g. for ToC) | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
 section | I | 0..* | See section (Composition) | Nested Section |
| section:originalRepresentation | I | 1..1 | BackboneElement | Original representation |
| 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 | 1..1 | string | Original representation | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55108-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation | |
| 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 | I | 1..1 | Narrative | Representation of the original view |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | I | 1..1 | Reference(Binary) | PDF |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| narrativeLink | 0..1 | url | narrativeLink to img src attribute URL: http://hl7.org/fhir/StructureDefinition/narrativeLink | |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
| section:prescription | I | 1..1 | BackboneElement | Medication prescription |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-sectionid | 0..1 | Identifier | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | 1..1 | string | 'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57828-6 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: PRESCRIPTIONS | |
| 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(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the section (person or device) if different from the author/timestamp of the document | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
| text | I | 1..1 | Narrative | Human readable text of this section |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | I | 1..* | Reference(CH EMED MedicationRequest Profile) | Medication request |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
| section:annotation | I | 0..1 | BackboneElement | Annotation |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-sectionid | 0..1 | Identifier | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | 1..1 | string | 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Annotation comment | |
| 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 | I | 1..1 | Narrative | Human readable text of this section |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | I | 0..* | Reference(Resource) | General comments |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
| Documentation for this format | ||||
This structure is derived from CHCoreCompositionEPR
Summary
Mandatory: 8 elements (5 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CHCoreCompositionEPR
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | CHCoreCompositionEPR | CH EMED Medication Prescription Composition | |
| language | 1..1 | code | Language of the document | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:setId | 1..1 | EPRSetId | Set ID | |
| extension:versionNumber | 1..1 | EPRVersionNumber | Version number | |
| extension:informationRecipient | 1..* | EPRInformationRecipient | A recipient of this document (person or organization) | |
| extension:dataEnterer | 0..1 | EPRDataEnterer | Person who entered information into this document if it is a person other than the author | |
| identifier | 1..1 | Identifier | Identification number of the document | |
| system | 0..1 | uri | The namespace for the identifier value | |
| value | 0..1 | string | The value that is unique | |
| status | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final | |
| type | 1..1 | CodeableConcept | Document type Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 761938008 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Medical Prescription record (record artifact) | |
| subject | 1..1 | Reference(CH Core Composition Patient Profile EPR) | A patient for whom this document instance was created | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date | 1..1 | dateTime | The document's creation date and time | |
| author | 1..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the document (person or device) | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| title | 1..1 | string | 'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed | |
| confidentiality | 1..1 | code | As defined by affinity domain | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:confidentialityCode | 1..1 | EPRConfidentialityCode | Swiss realm of confidentiality code according to the Swiss EPR regulation | |
| attester | 0..* | (Slice Definition) | The authenticator of the document (person) Slice: Unordered, Open by value:mode | |
| attester:legalAuthenticator | 0..1 | BackboneElement | The legal authenticator of the document (person) | |
| mode | 1..1 | code | personal | professional | legal | official Fixed Value: legal | |
| time | 1..1 | dateTime | Timestamp of the signature | |
| party | 1..1 | Reference(CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile) | Who attested the composition | |
| custodian | 1..1 | Reference(CH Core Organization Profile EPR) | The organization in whose name the document has been created | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
| section:originalRepresentation | 1..1 | BackboneElement | Original representation | |
| title | 1..1 | string | Original representation | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 55108-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation | |
| text | 1..1 | Narrative | Representation of the original view | |
| entry | 1..1 | Reference(Binary) | ||
| section | 0..0 | |||
| section:prescription | 1..1 | BackboneElement | Medication prescription | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:sectionId | 0..1 | EPRSectionId | Extension | |
| title | 1..1 | string | 'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 57828-6 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: PRESCRIPTIONS | |
| author | 0..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the section (person or device) if different from the author/timestamp of the document | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| text | 1..1 | Narrative | Human readable text of this section | |
| entry | 1..* | Reference(CH EMED MedicationRequest Profile) | Medication request | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 0..0 | |||
| section:annotation | 0..1 | BackboneElement | Annotation | |
| title | 1..1 | string | 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48767-8 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Annotation comment | |
| text | 1..1 | Narrative | Human readable text of this section | |
| entry | 0..* | Reference(Resource) | General comments | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | CHCoreCompositionEPR | CH EMED Medication Prescription Composition | |
| id | Σ | 0..1 | string | 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 | 1..1 | code | Language of the document Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-setid | 1..1 | Identifier | Set ID URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid | |
| ch-ext-epr-versionnumber | 1..1 | unsignedInt | Version number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber | |
| ch-ext-epr-informationrecipient | 1..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | A recipient of this document (person or organization) URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient | |
| ch-ext-epr-dataenterer | 0..1 | (Complex) | Person who entered information into this document if it is a person other than the author URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..1 | Identifier | Identification number of the document |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 0..1 | string | The value that is unique Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final |
| type | Σ | 1..1 | CodeableConcept | Document type Binding: DocumentEntry.typeCode (required): Precise type of clinical document. Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 761938008 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Medical Prescription record (record artifact) | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | Σ | 1..1 | Reference(CH Core Composition Patient Profile EPR) | A patient for whom this document instance was created |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | Σ | 1..1 | dateTime | The document's creation date and time |
| author | Σ | 1..* | Reference(CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile | Device | CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Organization Profile EPR) | The author of the document (person or device) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| ch-ext-epr-time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| title | Σ | 1..1 | string | 'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed |
| confidentiality | Σ | 1..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-ext-epr-confidentialitycode | 1..1 | CodeableConcept | Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (required) | |
| value | 0..1 | string | Primitive value for code | |
| attester | 0..* | (Slice Definition) | The authenticator of the document (person) Slice: Unordered, Open by value:mode | |
| attester:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| time | 0..1 | dateTime | When the composition was attested | |
| party | 0..1 | Reference(CH Core Patient Profile | RelatedPerson | CH Core Practitioner Profile | CH Core Practitioner Role Profile | CH Core Organization Profile) | Who attested the composition | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| attester:legalAuthenticator | 0..1 | BackboneElement | The legal authenticator of the document (person) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | |
| time | 1..1 | dateTime | Timestamp of the signature | |
| party | 1..1 | Reference(CH Core Composition Patient Profile EPR | RelatedPerson | CH Core Practitioner Profile EPR | CH Core Practitioner Role Profile) | Who attested the composition | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| custodian | Σ | 1..1 | Reference(CH Core Organization Profile EPR) | The organization in whose name the document has been created |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| |