CH ORF (R4)
1.1.0 - CI Build Switzerland flag

CH ORF (R4), published by HL7 Switzerland. This is not an authorized publication; it is the continuous build for version 1.1.0). This version is based on the current content of https://github.com/hl7ch/ch-orf/ and changes regularly. See the Directory of published versions

Resource Profile: CH ORF Composition

Official URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition Version: 1.1.0
Active as of 2022-09-19 Computable Name: ChOrfComposition

Copyright/Legal: CC-BY-SA-4.0

Profile to specify how the generic elements (e.g. patient, author) and the healthcare domain specific elements must be structured in the Composition as the first entry of the document.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CHCoreComposition

Summary

Mandatory: 10 elements (7 nested mandatory elements)
Must-Support: 35 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:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:resolve()

This structure is derived from CHCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH ORF Composition
... text S1..1NarrativeNarrative text of the composition
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... status S1..1codepreliminary | final | amended | entered-in-error
... type S1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category S1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject S1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
... author S1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
... title S1..1stringMeaningful title
... Slices for section S1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:orderReferral S1..1BackboneElementContains the data that supports the order and referral by form.
..... title S1..1stringOrder-Referral
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 93037-0
....... display1..1stringRepresentation defined by the system
Fixed Value: Portable medical order form
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire S0..1Reference(CH ORF Questionnaire)Questionnaire
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse S0..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:ServiceRequest S1..*Reference(CH ORF ServiceRequest)ServiceRequest
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:DocumentReference S0..*Reference(CH ORF DocumentReference)DocumentReference
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
..... section 0..0
.... section:originalRepresentation S0..1BackboneElementContains the original representation as a PDF of the current document.
..... title S1..1stringOriginal representation
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display1..1stringRepresentation defined by the system
Fixed Value: Clinical presentation
..... text S1..1NarrativeRepresentation of the original view
..... entry S1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
..... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH ORF Composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text S1..1NarrativeNarrative text of the composition
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title SΣ1..1stringMeaningful title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)Who attested the composition
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... custodian Σ0..1Reference(CH Core Organization)Organization which maintains the composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section SC1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:orderReferral SC1..1BackboneElementContains the data that supports the order and referral by form.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringOrder-Referral
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 93037-0
....... display1..1stringRepresentation defined by the system
Fixed Value: Portable medical order form
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SC1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC0..1Reference(CH ORF Questionnaire)Questionnaire
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
...... entry:QuestionnaireResponse SC0..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
...... entry:ServiceRequest SC1..*Reference(CH ORF ServiceRequest)ServiceRequest
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
...... entry:DocumentReference SC0..*Reference(CH ORF DocumentReference)DocumentReference
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:originalRepresentation SC0..1BackboneElementContains the original representation as a PDF of the current document.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringOriginal representation
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display1..1stringRepresentation defined by the system
Fixed Value: Clinical presentation
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SC1..1NarrativeRepresentation of the original view
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SC1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH ORF Composition
... text 1..1NarrativeNarrative text of the composition
... dataEnterer 0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForThisDocument 0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
... receiver 0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver 0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument 0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare 0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator 0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent 0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category Σ1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject Σ1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
... author Σ1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
... title Σ1..1stringMeaningful title
... Slices for section C1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:orderReferral C1..1BackboneElementContains the data that supports the order and referral by form.
..... title 1..1stringOrder-Referral
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 93037-0
....... display1..1stringRepresentation defined by the system
Fixed Value: Portable medical order form
..... text C0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry C1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire C0..1Reference(CH ORF Questionnaire)Questionnaire
....... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse C0..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:ServiceRequest C1..*Reference(CH ORF ServiceRequest)ServiceRequest
....... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:DocumentReference C0..*Reference(CH ORF DocumentReference)DocumentReference
....... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... section:originalRepresentation C0..1BackboneElementContains the original representation as a PDF of the current document.
..... title 1..1stringOriginal representation
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display1..1stringRepresentation defined by the system
Fixed Value: Clinical presentation
..... text C1..1NarrativeRepresentation of the original view
..... entry C1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.

doco Documentation for this format

This structure is derived from CHCoreComposition

Summary

Mandatory: 10 elements (7 nested mandatory elements)
Must-Support: 35 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:

  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:resolve()

Differential View

This structure is derived from CHCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH ORF Composition
... text S1..1NarrativeNarrative text of the composition
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... status S1..1codepreliminary | final | amended | entered-in-error
... type S1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category S1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject S1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
... author S1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
... title S1..1stringMeaningful title
... Slices for section S1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:orderReferral S1..1BackboneElementContains the data that supports the order and referral by form.
..... title S1..1stringOrder-Referral
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 93037-0
....... display1..1stringRepresentation defined by the system
Fixed Value: Portable medical order form
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire S0..1Reference(CH ORF Questionnaire)Questionnaire
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse S0..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:ServiceRequest S1..*Reference(CH ORF ServiceRequest)ServiceRequest
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
...... entry:DocumentReference S0..*Reference(CH ORF DocumentReference)DocumentReference
....... reference S1..1stringLiteral reference, Relative, internal or absolute URL
..... section 0..0
.... section:originalRepresentation S0..1BackboneElementContains the original representation as a PDF of the current document.
..... title S1..1stringOriginal representation
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55108-5
....... display1..1stringRepresentation defined by the system
Fixed Value: Clinical presentation
..... text S1..1NarrativeRepresentation of the original view
..... entry S1..1Reference(Binary)According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
..... section 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CHCoreCompositionCH ORF Composition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text S1..1NarrativeNarrative text of the composition
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... dataEnterer S0..1(Complex)The person/organization who has typed/filled in the form content
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... urgentNoficationContactForThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
... urgentNoficationContactForTheResponseToThisDocument S0..1Reference(CH Core PractitionerRole)An information recipient to notify for urgent matters about the response
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
... receiver S0..1Reference(CH Core PractitionerRole)Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
... copyReceiver S0..*Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Person/organization who receives the copy of this order (shall receive also all results therefrom)
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
... precedentDocument S0..1IdentifierIdentifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
... antecedentEpisodeOfCare S0..1Reference(CH ORF Episode of Care)Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare
... initiator S0..1(Complex)Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator
... patientConsent S0..1Reference(CH ORF Consent)To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptPrecise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ1..1CodeableConceptHigh-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ1..1Reference(CH Core Patient)Patient as the principle target of a particular form content
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(CH Core Encounter)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author SΣ1..1Reference(CH Core PractitionerRole)The person/organization responsible for the form content
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... title SΣ1..1stringMeaningful title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)Who attested the composition
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... custodian Σ0..1Reference(CH Core Organization)Organization which maintains the composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(CH Core Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section SC1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text C0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C0..*Reference(Resource)A reference to data that supports this section
..... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C0..*See section (Composition)Nested Section
.... section:orderReferral SC1..1BackboneElementContains the data that supports the order and referral by form.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringOrder-Referral
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 93037-0
....... display1..1stringRepresentation defined by the system
Fixed Value: Portable medical order form
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SC0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SC1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC0..1Reference(CH ORF Questionnaire)Questionnaire
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
...... entry:QuestionnaireResponse SC0..1Reference(CH ORF QuestionnaireResponse)QuestionnaireResponse
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
...... entry:ServiceRequest SC1..*Reference(CH ORF ServiceRequest)ServiceRequest
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known