CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: PADV Composition

Definition of the composition for the pharmaceutical advice document

Usage:

• Use this Resource Profile: PADV Document

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHEMEDCompositionPharmaceuticalAdvice

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
modifierExtension		0..0
identifier
extension	D	0..*	Extension	✕ This element is not supported
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type	D	0..1	CodeableConcept	✕ This element is not supported
value	C	1..1	string	The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
encounter	D	0..1	Reference(CH Core Encounter)	✕ This element is not supported
date	C	1..1	dateTime	The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
author		1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition
Slices for author				Content/Rules for all slices
author:person		1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(CH EMED EPR Device)	The device that created the document
confidentiality		1..1	code	The confidentiality is fixed to the 'normal' level Required Pattern: N
id	D	0..1	string	✕ This element is not supported
extension		1..1	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:confidentialityCode		1..1	EPRConfidentialityCode	Extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension
extension	D	0..*	Extension	✕ This element is not supported
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
attester	D	0..*	BackboneElement	✕ This element is not supported
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported
custodian
id	D	0..1	string	✕ This element is not supported
relatesTo	D	0..*	BackboneElement	✕ This element is not supported
code		1..1	code	replaces | transforms | signs | appends Required Pattern: replaces
event	D	0..*	BackboneElement	✕ This element is not supported
section		1..*	BackboneElement	Composition is broken into sections
modifierExtension		0..0
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
mode		0..1	code	working | snapshot | changes Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported
entry
id	D	0..1	string	✕ This element is not supported
Slices for section				Content/Rules for all slices
section:originalRepresentation		0..1	BackboneElement	Contains the original representation as a PDF of the current document.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
entry		1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document.
id	D	0..1	string	✕ This element is not supported
emptyReason	D	0..1	CodeableConcept	✕ This element is not supported
section	D	0..0
section:pharmaceuticalAdvice		1..1	BackboneElement	Pharmaceutical advice
modifierExtension		0..0
author	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported
entry		1..1	Reference(PADV Observation)	Observation
section:annotation		0..1	BackboneElement	Annotation comment concerning this document
id	D	0..1	string	✕ This element is not supported
modifierExtension		0..0
code
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
emptyReason	D	0..1	CodeableConcept	✕ This element is not supported
section	D	0..0
section:vitalSigns		0..1	BackboneElement	IPS Vital Signs Section
modifierExtension		0..0
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
coding		1..*	Coding	Code defined by a terminology system
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
entry		1..1	Reference(Body Weight Observation)	A reference to data that supports this section
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The document identifier as an URN-encoded UUID ele-1: All FHIR elements must have a @value or children urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	ΣD	0..1	Period	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Fixed Value: final
type	ΣC	1..1	CodeableConcept	Record artifact (record artifact) Binding: DocumentEntry.typeCode (extensible) ele-1: All FHIR elements must have a @value or children ch-emed-comp-padv: If a LOINC code is additionally provided, '61356-2' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 419891008
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter	ΣD	0..1	Reference(CH Core Encounter)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
date	ΣC	1..1	dateTime	The document's creation date and time ele-1: All FHIR elements must have a @value or children datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
Slices for author	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve() ele-1: All FHIR elements must have a @value or children
author:person	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
author:device	Σ	0..*	Reference(CH EMED EPR Device)	The device that created the document ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	'Kommentar zur Medikation' in german or 'Commentaire relatif à la médication' in french or 'Commento sulla terapia farmacologica' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
confidentiality	Σ	1..1	code	The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: N
id	D	0..1	string	✕ This element is not supported
Slices for extension		1..1	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
confidentialityCode		1..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: DocumentEntry.confidentialityCode (extensible) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for attester	D	0..*	BackboneElement	✕ This element is not supported Slice: Unordered, Open by value:mode ele-1: All FHIR elements must have a @value or children
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Fixed Value: legal
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
relatesTo	D	0..*	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children Required Pattern: replaces
target[x]		1..1		Target of the relationship ele-1: All FHIR elements must have a @value or children
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	ΣD	0..*	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value: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 ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported Binding: ListOrderCodes (preferred): What order applies to the items in the entry. ele-1: All FHIR elements must have a @value or children
section:originalRepresentation	C	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 ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	Original representation ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Representation of the original view ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:pharmaceuticalAdvice	C	1..1	BackboneElement	Pharmaceutical advice 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 ele-1: All FHIR elements must have a @value or children
title		1..1	string	'Hinweise zur Medikation' in german or 'Conseils sur les médicaments' in french or 'Consigli sui medicamenti' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 61357-0
author	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Human readable text of this section ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(PADV Observation)	Observation ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
section:annotation	C	0..1	BackboneElement	Annotation comment concerning this 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 ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Human readable text of this section ele-1: All FHIR elements must have a @value or children
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:vitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section 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 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 8716-3
coding	Σ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(Body Weight Observation)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Composition.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: SNOMED-CT Code 419891008 http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.confidentiality	required	Pattern: N http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept	extensible	DocumentEntryConfidentialityCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	Pattern: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.section.mode	required	Pattern: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pharmaceuticalAdvice.code	example	Pattern: LOINC Code 61357-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-padv	error	Composition.type	If a LOINC code is additionally provided, '61356-2' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '61356-2'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Record artifact (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-padv: If a LOINC code is additionally provided, '61356-2' shall be used for this document type. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 419891008
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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	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	ΣD	0..1	Reference(CH Core Encounter)	✕ This element is not supported
date	ΣC	1..1	dateTime	The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
Slices for author	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:person	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
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
author:device	Σ	0..*	Reference(CH EMED EPR Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
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	Σ	1..1	string	'Kommentar zur Medikation' in german or 'Commentaire relatif à la médication' in french or 'Commento sulla terapia farmacologica' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N
id	D	0..1	string	✕ This element is not supported
Slices for extension		1..1	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: DocumentEntry.confidentialityCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
value		0..1	string	Primitive value for code
Slices for attester	D	0..*	BackboneElement	✕ This element is not supported Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | 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
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	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 EPR)	Organization which maintains the composition
id	D	0..1	string	✕ This element is not supported
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	D	0..*	BackboneElement	✕ This element is not supported
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. Required Pattern: replaces
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	ΣD	0..*	BackboneElement	✕ This element is not supported
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	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value: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
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 EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
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. Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported 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
id	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	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:originalRepresentation	C	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	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
text	C	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	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document.
id	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:pharmaceuticalAdvice	C	1..1	BackboneElement	Pharmaceutical advice 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
title		1..1	string	'Hinweise zur Medikation' in german or 'Conseils sur les médicaments' in french or 'Consigli sui medicamenti' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 61357-0
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	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(PADV Observation)	Observation
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
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation comment concerning this 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	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:vitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section 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
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	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	1..1	Reference(Body Weight Observation)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Composition.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: SNOMED-CT Code 419891008 http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author:person.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author:device.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	Pattern: N http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept	extensible	DocumentEntryConfidentialityCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	Pattern: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	Pattern: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pharmaceuticalAdvice.code	example	Pattern: LOINC Code 61357-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pharmaceuticalAdvice.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pharmaceuticalAdvice.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pharmaceuticalAdvice.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:pharmaceuticalAdvice.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotation.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-padv	error	Composition.type	If a LOINC code is additionally provided, '61356-2' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '61356-2'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

This structure is derived from CHEMEDCompositionPharmaceuticalAdvice

Summary

Mandatory: 0 element(3 nested mandatory elements)
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• CH EMED EPR RelatedPerson (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-related-person)
• CH EMED EPR Device (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-device)
• CH EMED EPR Practitioner (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner)
• PADV Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation)
• Body Weight Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation-body-weight)

Differential View

This structure is derived from CHEMEDCompositionPharmaceuticalAdvice

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
modifierExtension		0..0
identifier
extension	D	0..*	Extension	✕ This element is not supported
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type	D	0..1	CodeableConcept	✕ This element is not supported
value	C	1..1	string	The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
encounter	D	0..1	Reference(CH Core Encounter)	✕ This element is not supported
date	C	1..1	dateTime	The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
author		1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition
Slices for author				Content/Rules for all slices
author:person		1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(CH EMED EPR Device)	The device that created the document
confidentiality		1..1	code	The confidentiality is fixed to the 'normal' level Required Pattern: N
id	D	0..1	string	✕ This element is not supported
extension		1..1	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:confidentialityCode		1..1	EPRConfidentialityCode	Extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension
extension	D	0..*	Extension	✕ This element is not supported
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
attester	D	0..*	BackboneElement	✕ This element is not supported
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported
custodian
id	D	0..1	string	✕ This element is not supported
relatesTo	D	0..*	BackboneElement	✕ This element is not supported
code		1..1	code	replaces | transforms | signs | appends Required Pattern: replaces
event	D	0..*	BackboneElement	✕ This element is not supported
section		1..*	BackboneElement	Composition is broken into sections
modifierExtension		0..0
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
mode		0..1	code	working | snapshot | changes Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported
entry
id	D	0..1	string	✕ This element is not supported
Slices for section				Content/Rules for all slices
section:originalRepresentation		0..1	BackboneElement	Contains the original representation as a PDF of the current document.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
entry		1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document.
id	D	0..1	string	✕ This element is not supported
emptyReason	D	0..1	CodeableConcept	✕ This element is not supported
section	D	0..0
section:pharmaceuticalAdvice		1..1	BackboneElement	Pharmaceutical advice
modifierExtension		0..0
author	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported
entry		1..1	Reference(PADV Observation)	Observation
section:annotation		0..1	BackboneElement	Annotation comment concerning this document
id	D	0..1	string	✕ This element is not supported
modifierExtension		0..0
code
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
emptyReason	D	0..1	CodeableConcept	✕ This element is not supported
section	D	0..0
section:vitalSigns		0..1	BackboneElement	IPS Vital Signs Section
modifierExtension		0..0
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
coding		1..*	Coding	Code defined by a terminology system
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
entry		1..1	Reference(Body Weight Observation)	A reference to data that supports this section
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The document identifier as an URN-encoded UUID ele-1: All FHIR elements must have a @value or children urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	ΣD	0..1	Period	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Fixed Value: final
type	ΣC	1..1	CodeableConcept	Record artifact (record artifact) Binding: DocumentEntry.typeCode (extensible) ele-1: All FHIR elements must have a @value or children ch-emed-comp-padv: If a LOINC code is additionally provided, '61356-2' shall be used for this document type. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 419891008
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter	ΣD	0..1	Reference(CH Core Encounter)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
date	ΣC	1..1	dateTime	The document's creation date and time ele-1: All FHIR elements must have a @value or children datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
Slices for author	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve() ele-1: All FHIR elements must have a @value or children
author:person	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
author:device	Σ	0..*	Reference(CH EMED EPR Device)	The device that created the document ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	'Kommentar zur Medikation' in german or 'Commentaire relatif à la médication' in french or 'Commento sulla terapia farmacologica' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
confidentiality	Σ	1..1	code	The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: N
id	D	0..1	string	✕ This element is not supported
Slices for extension		1..1	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
confidentialityCode		1..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: DocumentEntry.confidentialityCode (extensible) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for attester	D	0..*	BackboneElement	✕ This element is not supported Slice: Unordered, Open by value:mode ele-1: All FHIR elements must have a @value or children
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children Fixed Value: legal
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
relatesTo	D	0..*	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children Required Pattern: replaces
target[x]		1..1		Target of the relationship ele-1: All FHIR elements must have a @value or children
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	ΣD	0..*	BackboneElement	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value: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 ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported Binding: ListOrderCodes (preferred): What order applies to the items in the entry. ele-1: All FHIR elements must have a @value or children
section:originalRepresentation	C	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 ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	Original representation ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Representation of the original view ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:pharmaceuticalAdvice	C	1..1	BackboneElement	Pharmaceutical advice 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 ele-1: All FHIR elements must have a @value or children
title		1..1	string	'Hinweise zur Medikation' in german or 'Conseils sur les médicaments' in french or 'Consigli sui medicamenti' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 61357-0
author	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Human readable text of this section ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(PADV Observation)	Observation ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
section:annotation	C	0..1	BackboneElement	Annotation comment concerning this 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 ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
focus	D	0..1	Reference(Resource)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	C	1..1	Narrative	Human readable text of this section ele-1: All FHIR elements must have a @value or children
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children
section:vitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section 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 ele-1: All FHIR elements must have a @value or children
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 8716-3
coding	Σ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section ele-1: All FHIR elements must have a @value or children
entry	C	1..1	Reference(Body Weight Observation)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Composition.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: SNOMED-CT Code 419891008 http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.confidentiality	required	Pattern: N http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept	extensible	DocumentEntryConfidentialityCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	Pattern: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.section.mode	required	Pattern: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pharmaceuticalAdvice.code	example	Pattern: LOINC Code 61357-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-padv	error	Composition.type	If a LOINC code is additionally provided, '61356-2' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '61356-2'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CHEMEDCompositionPharmaceuticalAdvice	CH EMED Pharmaceutical Advice Composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The document identifier as an URN-encoded UUID urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Record artifact (record artifact) Binding: DocumentEntry.typeCode (extensible) ch-emed-comp-padv: If a LOINC code is additionally provided, '61356-2' shall be used for this document type. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 419891008
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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	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	ΣD	0..1	Reference(CH Core Encounter)	✕ This element is not supported
date	ΣC	1..1	dateTime	The document's creation date and time datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
Slices for author	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:person	Σ	1..*	Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
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
author:device	Σ	0..*	Reference(CH EMED EPR Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
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	Σ	1..1	string	'Kommentar zur Medikation' in german or 'Commentaire relatif à la médication' in french or 'Commento sulla terapia farmacologica' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	The confidentiality is fixed to the 'normal' level Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. Required Pattern: N
id	D	0..1	string	✕ This element is not supported
Slices for extension		1..1	Extension	Extension Slice: Unordered, Open by value:url
confidentialityCode		1..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: DocumentEntry.confidentialityCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 17621005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
value		0..1	string	Primitive value for code
Slices for attester	D	0..*	BackboneElement	✕ This element is not supported Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(CH Core Patient | 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
attester:legalAuthenticator	D	0..1	BackboneElement	✕ This element is not supported
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	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 EPR)	Organization which maintains the composition
id	D	0..1	string	✕ This element is not supported
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	D	0..*	BackboneElement	✕ This element is not supported
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. Required Pattern: replaces
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
event	ΣD	0..*	BackboneElement	✕ This element is not supported
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	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value: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
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 EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
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. Required Pattern: snapshot
orderedBy	D	0..1	CodeableConcept	✕ This element is not supported 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
id	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	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:originalRepresentation	C	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	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
title		1..1	string	Original representation
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
text	C	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	C	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. The PDF shall be contained locally in the document.
id	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:pharmaceuticalAdvice	C	1..1	BackboneElement	Pharmaceutical advice 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
title		1..1	string	'Hinweise zur Medikation' in german or 'Conseils sur les médicaments' in french or 'Consigli sui medicamenti' in italian or 'Pharmaceutical Advice' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 61357-0
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	D	0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	✕ This element is not supported
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(PADV Observation)	Observation
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
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation comment concerning this 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	D	0..1	string	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		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
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	Who and/or what authored the section
focus	D	0..1	Reference(Resource)	✕ This element is not supported
text	C	1..1	Narrative	Human readable text of this section
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	CD	0..1	CodeableConcept	✕ This element is not supported Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:vitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section 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
title		0..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
author		0..*	Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device)	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	1..1	Reference(Body Weight Observation)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Composition.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: SNOMED-CT Code 419891008 http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author:person.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author:device.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	Pattern: N http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConcept	extensible	DocumentEntryConfidentialityCode http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.attester:legalAuthenticator.mode	required	Fixed Value: legal http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester:legalAuthenticator.party.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.custodian.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	Pattern: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	Pattern: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:originalRepresentation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:originalRepresentation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:originalRepresentation.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:originalRepresentation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pharmaceuticalAdvice.code	example	Pattern: LOINC Code 61357-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pharmaceuticalAdvice.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pharmaceuticalAdvice.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pharmaceuticalAdvice.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:pharmaceuticalAdvice.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:annotation.code	example	Pattern: LOINC Code 48767-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:annotation.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:annotation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:annotation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-comp-padv	error	Composition.type	If a LOINC code is additionally provided, '61356-2' shall be used for this document type. : coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '61356-2'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:pharmaceuticalAdvice, Composition.section:annotation, Composition.section:vitalSigns	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
datetime-only-instant-invariant	error	Composition.date	The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ') : $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
urn-uuid-invariant	error	Composition.identifier.value	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

This structure is derived from CHEMEDCompositionPharmaceuticalAdvice

Summary

Mandatory: 0 element(3 nested mandatory elements)
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• CH EMED EPR RelatedPerson (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-related-person)
• CH EMED EPR Device (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-device)
• CH EMED EPR Practitioner (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner)
• PADV Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation)
• Body Weight Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation-body-weight)