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See the Directory of published versions
Structured Documents ![]() | Maturity Level: 0 | Trial Use | Use Context: Any |
The canonical URL for this profile is:
http://hl7.org/fhir/StructureDefinition/clinicaldocument
The Clinical Document profile constrains Composition to specify a clinical document (matching CDA). The base Composition is a general resource for compositions or documents about any kind of subject that might be encountered in healthcare including such things as guidelines, medicines, etc. A clinical document is focused on documents related to the provision of care process, where the subject is a patient, a group of patients, or a closely related concept. A clinical document has additional requirements around confidentiality that do not apply in the same way to other kinds of documents.
The HL7 standard for Structured Documents Section 1.2 describes the document vs. message distinction as follows.
A document is designed to be persistent for long periods of time, whereas messages are more often expected to be transient. There is a place for both of these constructs in healthcare.
A document is characterized by the following properties:
For further information, see the CDA specification
and also the comparison with CDA.
This profile was published on Thu, Jan 1, 1970 00:00+0000 as a draft by HL7.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This indicates the differences between this profile and the base Composition structure.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() ![]() | 0..* | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |
![]() ![]() |
This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Composition structure.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: All Languages (required): IETF language tag for a human language | |
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) |
![]() ![]() ![]() | Σ | 0..* | Identifier | Version-independent identifier for the Composition |
![]() ![]() ![]() | Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition |
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: Composition Status (required): The workflow/clinical status of the composition. |
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition. |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Referenced Item Category Value Set (example): High-level kind of a clinical document at a macro level. |
![]() ![]() ![]() | Σ | 0..* | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about |
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
![]() ![]() ![]() | Σ | 1..1 | dateTime | Composition editing time |
![]() ![]() ![]() | Σ | 0..* | UsageContext | The context that the content is intended to support |
![]() ![]() ![]() | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
![]() ![]() ![]() | Σ | 0..1 | string | Name for this Composition (computer friendly) |
![]() ![]() ![]() | Σ | 1..1 | string | Human Readable name/title |
![]() ![]() ![]() | 0..* | Annotation | For any additional notes | |
![]() ![]() ![]() | 0..* | BackboneElement | Attests to accuracy of composition | |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | personal | professional | legal | official Binding: Composition Attestation Mode (preferred): The way in which a person authenticated a composition. | |
![]() ![]() ![]() ![]() | 0..1 | dateTime | When the composition was attested | |
![]() ![]() ![]() ![]() | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition |
![]() ![]() ![]() | 0..* | RelatedArtifact | Relationships to other compositions/documents | |
![]() ![]() ![]() | Σ | 0..* | BackboneElement | The clinical service(s) being documented |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | Σ | 0..1 | Period | The period covered by the documentation |
![]() ![]() ![]() ![]() | Σ | 0..* | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode ![]() |
![]() ![]() ![]() | C ![]() | 0..* | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | 0..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example): Classification of a section of a composition/document. | |
![]() ![]() ![]() ![]() | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
![]() ![]() ![]() ![]() | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
![]() ![]() ![]() ![]() | C ![]() | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred): What order applies to the items in the entry. | |
![]() ![]() ![]() ![]() | C ![]() | 0..* | Reference(Resource) | A reference to data that supports this section |
![]() ![]() ![]() ![]() | C ![]() | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred): If a section is empty, why it is empty. |
![]() ![]() ![]() ![]() | 0..* | See section (Composition) | Nested Section | |
![]() ![]() |
<!-- ClinicalDocument --><Composition xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id value="[id]"/><!-- 0..1 Logical id of this artifact --> <meta><!-- I 0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created --> <language value="[code]"/><!-- I 0..1 Language of the resource content --> <text><!-- I 0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored --></modifierExtension> <url value="[uri]"/><!-- I 0..1 Canonical identifier for this Composition, represented as a URI (globally unique) --> <identifier><!-- I 0..* Identifier Version-independent identifier for the Composition --></identifier> <version value="[string]"/><!-- I 0..1 An explicitly assigned identifer of a variation of the content in the Composition --> <status value="[code]"/><!-- I 1..1 registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown --> <type><!-- I 1..1 CodeableConcept Kind of composition (LOINC if possible) --></type> <category><!-- I 0..* CodeableConcept Categorization of Composition --></category> <subject><!-- I 0..* Reference(Patient) Who and/or what the composition is about --></subject> <encounter><!-- I 0..1 Reference(Encounter) Context of the Composition --></encounter> <date value="[dateTime]"/><!-- I 1..1 Composition editing time --> <useContext><!-- I 0..* UsageContext The context that the content is intended to support --></useContext> <author><!-- I 1..* Reference(Practitioner) Who and/or what authored the composition --></author> <name value="[string]"/><!-- I 0..1 Name for this Composition (computer friendly) --> <title value="[string]"/><!-- I 1..1 Human Readable name/title --> <note><!-- I 0..* Annotation For any additional notes --></note> <attester> I 0..* BackboneElement <!-- I 0..* Attests to accuracy of composition --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <mode><!-- I 1..1 CodeableConcept personal | professional | legal | official --></mode> <time value="[dateTime]"/><!-- I 0..1 When the composition was attested --> <party><!-- I 0..1 Reference(Patient) Who attested the composition --></party> </attester> <custodian><!-- I 0..1 Reference(Organization) Organization which maintains the composition --></custodian> <relatesTo><!-- I 0..* RelatedArtifact Relationships to other compositions/documents --></relatesTo> <event> I 0..* BackboneElement <!-- I 0..* The clinical service(s) being documented --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <period><!-- I 0..1 Period The period covered by the documentation --></period> <detail><!-- I 0..* CodeableReference The event(s) being documented, as code(s), reference(s), or both
--></detail> </event> <section> I 0..* BackboneElement <!-- I 0..* Composition is broken into sections --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <title value="[string]"/><!-- I 0..1 Label for section (e.g. for ToC) --> <code><!-- I 0..1 CodeableConcept Classification of section (recommended) --></code> <author><!-- I 0..* Reference(Practitioner) Who and/or what authored the section --></author> <focus><!-- I 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition --></focus> <text><!-- I 0..1 Narrative Text summary of the section, for human interpretation --></text> <orderedBy><!-- I 0..1 CodeableConcept Order of section entries --></orderedBy> <entry><!-- I 0..* Reference(Resource) A reference to data that supports this section --></entry> <emptyReason><!-- I 0..1 CodeableConcept Why the section is empty --></emptyReason> <section><!-- See http://hl7.org/fhir/StructureDefinition/Composition#Composition.section Nested Section --></section> </section> </Composition>
{ // ClinicalDocument // from Element: extension "meta" : { Meta }, // IMetadata about the resource "implicitRules" : "<uri>", // IA set of rules under which this content was created "language" : "<code>", // ILanguage of the resource content "text" : { Narrative }, // IText summary of the resource, for human interpretation "contained" : [{ Resource }], //Contained, inline Resources "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored "url" : "<uri>", // ICanonical identifier for this Composition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // IVersion-independent identifier for the Composition "version" : "<string>", // IAn explicitly assigned identifer of a variation of the content in the Composition "status" : "<code>", // I R! registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown "type" : { CodeableConcept }, // I R! Kind of composition (LOINC if possible) "category" : [{ CodeableConcept }], // ICategorization of Composition "subject" : [{ Reference(Patient) }], // IWho and/or what the composition is about "encounter" : { Reference(Encounter) }, // IContext of the Composition "date" : "<dateTime>", // I R! Composition editing time "useContext" : [{ UsageContext }], // IThe context that the content is intended to support "author" : [{ Reference(Practitioner) }], // I R! Who and/or what authored the composition "name" : "<string>", // IName for this Composition (computer friendly) "title" : "<string>", // I R! Human Readable name/title "note" : [{ Annotation }], // IFor any additional notes "attester" : [{ BackboneElement }], // IAttests to accuracy of composition "custodian" : { Reference(Organization) }, // IOrganization which maintains the composition "relatesTo" : [{ RelatedArtifact }], // IRelationships to other compositions/documents "event" : [{ BackboneElement }], // IThe clinical service(s) being documented "section" : [{ BackboneElement }] // IComposition is broken into sections }
This structure is derived from Composition.
Differential View
This indicates the differences between this profile and the base Composition structure.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() ![]() | 0..* | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |
![]() ![]() |
Snapshot View
This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Composition structure.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: All Languages (required): IETF language tag for a human language | |
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) |
![]() ![]() ![]() | Σ | 0..* | Identifier | Version-independent identifier for the Composition |
![]() ![]() ![]() | Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition |
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: Composition Status (required): The workflow/clinical status of the composition. |
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition. |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: Referenced Item Category Value Set (example): High-level kind of a clinical document at a macro level. |
![]() ![]() ![]() | Σ | 0..* | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about |
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
![]() ![]() ![]() | Σ | 1..1 | dateTime | Composition editing time |
![]() ![]() ![]() | Σ | 0..* | UsageContext | The context that the content is intended to support |
![]() ![]() ![]() | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
![]() ![]() ![]() | Σ | 0..1 | string | Name for this Composition (computer friendly) |
![]() ![]() ![]() | Σ | 1..1 | string | Human Readable name/title |
![]() ![]() ![]() | 0..* | Annotation | For any additional notes | |
![]() ![]() ![]() | 0..* | BackboneElement | Attests to accuracy of composition | |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | personal | professional | legal | official Binding: Composition Attestation Mode (preferred): The way in which a person authenticated a composition. | |
![]() ![]() ![]() ![]() | 0..1 | dateTime | When the composition was attested | |
![]() ![]() ![]() ![]() | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition |
![]() ![]() ![]() | 0..* | RelatedArtifact | Relationships to other compositions/documents | |
![]() ![]() ![]() | Σ | 0..* | BackboneElement | The clinical service(s) being documented |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | Σ | 0..1 | Period | The period covered by the documentation |
![]() ![]() ![]() ![]() | Σ | 0..* | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode ![]() |
![]() ![]() ![]() | C ![]() | 0..* | BackboneElement | Composition is broken into sections |
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | 0..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Binding: Document Section Codes (example): Classification of a section of a composition/document. | |
![]() ![]() ![]() ![]() | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
![]() ![]() ![]() ![]() | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
![]() ![]() ![]() ![]() | C ![]() | 0..1 | Narrative | Text summary of the section, for human interpretation |
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Order of section entries Binding: List Order Codes (preferred): What order applies to the items in the entry. | |
![]() ![]() ![]() ![]() | C ![]() | 0..* | Reference(Resource) | A reference to data that supports this section |
![]() ![]() ![]() ![]() | C ![]() | 0..1 | CodeableConcept | Why the section is empty Binding: List Empty Reasons (preferred): If a section is empty, why it is empty. |
![]() ![]() ![]() ![]() | 0..* | See section (Composition) | Nested Section | |
![]() ![]() |
XML Template
<!-- ClinicalDocument --><Composition xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id value="[id]"/><!-- 0..1 Logical id of this artifact --> <meta><!-- I 0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created --> <language value="[code]"/><!-- I 0..1 Language of the resource content --> <text><!-- I 0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored --></modifierExtension> <url value="[uri]"/><!-- I 0..1 Canonical identifier for this Composition, represented as a URI (globally unique) --> <identifier><!-- I 0..* Identifier Version-independent identifier for the Composition --></identifier> <version value="[string]"/><!-- I 0..1 An explicitly assigned identifer of a variation of the content in the Composition --> <status value="[code]"/><!-- I 1..1 registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown --> <type><!-- I 1..1 CodeableConcept Kind of composition (LOINC if possible) --></type> <category><!-- I 0..* CodeableConcept Categorization of Composition --></category> <subject><!-- I 0..* Reference(Patient) Who and/or what the composition is about --></subject> <encounter><!-- I 0..1 Reference(Encounter) Context of the Composition --></encounter> <date value="[dateTime]"/><!-- I 1..1 Composition editing time --> <useContext><!-- I 0..* UsageContext The context that the content is intended to support --></useContext> <author><!-- I 1..* Reference(Practitioner) Who and/or what authored the composition --></author> <name value="[string]"/><!-- I 0..1 Name for this Composition (computer friendly) --> <title value="[string]"/><!-- I 1..1 Human Readable name/title --> <note><!-- I 0..* Annotation For any additional notes --></note> <attester> I 0..* BackboneElement <!-- I 0..* Attests to accuracy of composition --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <mode><!-- I 1..1 CodeableConcept personal | professional | legal | official --></mode> <time value="[dateTime]"/><!-- I 0..1 When the composition was attested --> <party><!-- I 0..1 Reference(Patient) Who attested the composition --></party> </attester> <custodian><!-- I 0..1 Reference(Organization) Organization which maintains the composition --></custodian> <relatesTo><!-- I 0..* RelatedArtifact Relationships to other compositions/documents --></relatesTo> <event> I 0..* BackboneElement <!-- I 0..* The clinical service(s) being documented --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <period><!-- I 0..1 Period The period covered by the documentation --></period> <detail><!-- I 0..* CodeableReference The event(s) being documented, as code(s), reference(s), or both
--></detail> </event> <section> I 0..* BackboneElement <!-- I 0..* Composition is broken into sections --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <title value="[string]"/><!-- I 0..1 Label for section (e.g. for ToC) --> <code><!-- I 0..1 CodeableConcept Classification of section (recommended) --></code> <author><!-- I 0..* Reference(Practitioner) Who and/or what authored the section --></author> <focus><!-- I 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition --></focus> <text><!-- I 0..1 Narrative Text summary of the section, for human interpretation --></text> <orderedBy><!-- I 0..1 CodeableConcept Order of section entries --></orderedBy> <entry><!-- I 0..* Reference(Resource) A reference to data that supports this section --></entry> <emptyReason><!-- I 0..1 CodeableConcept Why the section is empty --></emptyReason> <section><!-- See http://hl7.org/fhir/StructureDefinition/Composition#Composition.section Nested Section --></section> </section> </Composition>
JSON Template
{ // ClinicalDocument // from Element: extension "meta" : { Meta }, // IMetadata about the resource "implicitRules" : "<uri>", // IA set of rules under which this content was created "language" : "<code>", // ILanguage of the resource content "text" : { Narrative }, // IText summary of the resource, for human interpretation "contained" : [{ Resource }], //Contained, inline Resources "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored "url" : "<uri>", // ICanonical identifier for this Composition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // IVersion-independent identifier for the Composition "version" : "<string>", // IAn explicitly assigned identifer of a variation of the content in the Composition "status" : "<code>", // I R! registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown "type" : { CodeableConcept }, // I R! Kind of composition (LOINC if possible) "category" : [{ CodeableConcept }], // ICategorization of Composition "subject" : [{ Reference(Patient) }], // IWho and/or what the composition is about "encounter" : { Reference(Encounter) }, // IContext of the Composition "date" : "<dateTime>", // I R! Composition editing time "useContext" : [{ UsageContext }], // IThe context that the content is intended to support "author" : [{ Reference(Practitioner) }], // I R! Who and/or what authored the composition "name" : "<string>", // IName for this Composition (computer friendly) "title" : "<string>", // I R! Human Readable name/title "note" : [{ Annotation }], // IFor any additional notes "attester" : [{ BackboneElement }], // IAttests to accuracy of composition "custodian" : { Reference(Organization) }, // IOrganization which maintains the composition "relatesTo" : [{ RelatedArtifact }], // IRelationships to other compositions/documents "event" : [{ BackboneElement }], // IThe clinical service(s) being documented "section" : [{ BackboneElement }] // IComposition is broken into sections }
Alternate definitions: Master Definition (XML, JSON), Schematron
Path | Name | Conformance | ValueSet |
Composition.language | All Languages | required | All Languages |
Composition.status | Composition Status | required | Composition Status |
Composition.type | FHIR Document Type Codes | preferred | FHIR Document Type Codes |
Composition.category | Referenced Item Category Value Set | example | Referenced Item Category Value Set |
Composition.attester.mode | Composition Attestation Mode | preferred | Composition Attestation Mode |
Composition.event.detail | v3 Code System ActCode | example | v3 Code System ActCode ![]() |
Composition.section.code | Document Section Codes | example | Document Section Codes |
Composition.section.orderedBy | List Order Codes | preferred | List Order Codes |
Composition.section.emptyReason | List Empty Reasons | preferred | List Empty Reasons |