CH ORF (R4)
3.0.0-ci-build - ci-build Switzerland flag

CH ORF (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. 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: 3.0.0-ci-build
Active as of 2024-05-23 Computable Name: ChOrfComposition

Copyright/Legal: CC0-1.0

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... text S 1..1 Narrative Narrative text of the composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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 S 1..1 code preliminary | final | amended | entered-in-error
... category S 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject S 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
... author S 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
... title S 1..1 string Meaningful title
... Slices for section S 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:orderReferral S 1..1 BackboneElement Contains the data that supports the order and referral by form.
..... title S 1..1 string Order-Referral
..... code S 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: 93037-0
..... text S 0..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry S 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire S 0..1 Reference(CH ORF Questionnaire) Questionnaire
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse S 0..1 Reference(CH ORF QuestionnaireResponse) QuestionnaireResponse
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:ServiceRequest S 1..* Reference(CH ORF ServiceRequest) ServiceRequest
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:DocumentReference S 0..* Reference(CH ORF DocumentReference) DocumentReference
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:originalRepresentation S 0..1 BackboneElement Contains the original representation as a PDF of the current document.
..... title S 1..1 string Original representation
..... code S 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
..... text S 1..1 Narrative Representation of the original view
..... entry S 1..1 Reference(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

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Narrative text of the composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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 ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept Precise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... title SΣ 1..1 string Meaningful title
... Slices for section SC 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:orderReferral SC 1..1 BackboneElement Contains the data that supports the order and referral by form.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Order-Referral
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 93037-0
..... text SC 0..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry SC 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC 0..1 Reference(CH ORF Questionnaire) Questionnaire
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse SC 0..1 Reference(CH ORF QuestionnaireResponse) QuestionnaireResponse
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:ServiceRequest SC 1..* Reference(CH ORF ServiceRequest) ServiceRequest
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:DocumentReference SC 0..* Reference(CH ORF DocumentReference) DocumentReference
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:originalRepresentation SC 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Original representation
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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
..... text SC 1..1 Narrative Representation of the original view
..... entry SC 1..1 Reference(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

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.section:orderReferral.codeexamplePattern: LOINC Code 93037-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC Code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Narrative text of the composition
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept Precise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
.... 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 ΣC 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(CH Core Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
.... 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 ΣC 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 SΣ 1..1 string Meaningful title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 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 | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) 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 ΣC 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 0..1 Reference(CH Core Organization) Organization which maintains 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 ΣC 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(CH Core 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
... Slices for section SC 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: 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..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

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

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:orderReferral SC 1..1 BackboneElement Contains the data that supports the order and referral by form.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Order-Referral
..... code S 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: 93037-0
....... display 0..1 string Representation defined by the system
....... 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 | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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 SC 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.

..... Slices for entry SC 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC 0..1 Reference(CH ORF Questionnaire) Questionnaire
....... 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 SΣC 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
...... entry:QuestionnaireResponse SC 0..1 Reference(CH ORF QuestionnaireResponse) QuestionnaireResponse
....... 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 SΣC 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
...... entry:ServiceRequest SC 1..* Reference(CH ORF ServiceRequest) ServiceRequest
....... 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 SΣC 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
...... entry:DocumentReference SC 0..* Reference(CH ORF DocumentReference) DocumentReference
....... 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 SΣC 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 C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:originalRepresentation SC 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Original representation
..... code S 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 0..1 string Representation defined by the system
....... 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 | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core 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 SC 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 SC 1..1 Reference(Binary) According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester.party.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.custodian.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:orderReferral.codeexamplePattern: LOINC Code 93037-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:orderReferral.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:orderReferral.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:orderReferral.entry:Questionnaire.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:orderReferral.entry:QuestionnaireResponse.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:orderReferral.entry:ServiceRequest.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:orderReferral.entry:DocumentReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:orderReferral.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC Code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:originalRepresentation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:originalRepresentation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:originalRepresentation.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

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

Differential View

This structure is derived from CHCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... text S 1..1 Narrative Narrative text of the composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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 S 1..1 code preliminary | final | amended | entered-in-error
... category S 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject S 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
... author S 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
... title S 1..1 string Meaningful title
... Slices for section S 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:orderReferral S 1..1 BackboneElement Contains the data that supports the order and referral by form.
..... title S 1..1 string Order-Referral
..... code S 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: 93037-0
..... text S 0..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry S 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire S 0..1 Reference(CH ORF Questionnaire) Questionnaire
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse S 0..1 Reference(CH ORF QuestionnaireResponse) QuestionnaireResponse
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:ServiceRequest S 1..* Reference(CH ORF ServiceRequest) ServiceRequest
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:DocumentReference S 0..* Reference(CH ORF DocumentReference) DocumentReference
....... reference S 1..1 string Literal reference, Relative, internal or absolute URL
..... section 0..0
.... section:originalRepresentation S 0..1 BackboneElement Contains the original representation as a PDF of the current document.
..... title S 1..1 string Original representation
..... code S 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
..... text S 1..1 Narrative Representation of the original view
..... entry S 1..1 Reference(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

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Narrative text of the composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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 ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept Precise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... title SΣ 1..1 string Meaningful title
... Slices for section SC 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:orderReferral SC 1..1 BackboneElement Contains the data that supports the order and referral by form.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Order-Referral
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 93037-0
..... text SC 0..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry SC 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:Questionnaire SC 0..1 Reference(CH ORF Questionnaire) Questionnaire
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:QuestionnaireResponse SC 0..1 Reference(CH ORF QuestionnaireResponse) QuestionnaireResponse
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:ServiceRequest SC 1..* Reference(CH ORF ServiceRequest) ServiceRequest
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:DocumentReference SC 0..* Reference(CH ORF DocumentReference) DocumentReference
....... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:originalRepresentation SC 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Original representation
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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
..... text SC 1..1 Narrative Representation of the original view
..... entry SC 1..1 Reference(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

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
Composition.section:orderReferral.codeexamplePattern: LOINC Code 93037-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC Code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:orderReferral, Composition.section:originalRepresentationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHCoreComposition CH ORF Composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Narrative text of the composition
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dataEnterer S 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 S 0..1 Reference(CH Core PractitionerRole) An information recipient to notify for urgent matters
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
.... urgentNoficationContactForTheResponseToThisDocument S 0..1 Reference(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 S 0..1 Reference(CH Core PractitionerRole) Person/organization who receives the document
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
.... copyReceiver S 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 S 0..1 Identifier Identifier of the document which precedes this document in a thread.
URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument
.... antecedentEpisodeOfCare S 0..1 Reference(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 S 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 S 0..1 Reference(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..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ 1..1 CodeableConcept Precise type of clinical document
Binding: DocumentEntry.typeCode (preferred)
... category SΣ 1..1 CodeableConcept High-level kind of a clinical document at a macro level
Binding: DocumentEntry.classCode (preferred)
... subject SΣ 1..1 Reference(CH Core Patient) Patient as the principle target of a particular form content
.... 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 ΣC 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(CH Core Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(CH Core PractitionerRole) The person/organization responsible for the form content
.... 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 ΣC 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 SΣ 1..1 string Meaningful title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 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 | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who attested the composition
..... id 0..1 string Unique id for inter-element referencing
....