Guías de Implementación HL7 FHIR: CR Core
0.1.1-draft - ci-build Costa Rica flag

Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Documento Clínico

Official URL: https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/composition-cr-core Version: 0.1.1-draft
Standards status: Draft Maturity Level: 0 Computable Name: CompositionCrCore

Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Perfil CORE del Documento Clínico (Composition)

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type SΣ 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
... subject SΣ 0..* Reference(Resource) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil para Costa Rica.
... encounter SΣ 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date SΣ 1..1 dateTime Fecha en la cual se editó el documento
... author SΣ 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... title SΣ 1..1 string Título del documento
... attester S 0..* BackboneElement Profesionales validadores del documento
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian SΣ 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... section SC 1..* BackboneElement Sección del documento
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... text SC 0..1 Narrative Texto que describe el contenido de la sección
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta sección

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... identifier S 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versión del mismo
... status S 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type S 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
... encounter S 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date S 1..1 dateTime Fecha en la cual se editó el documento
... author S 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... title S 1..1 string Título del documento
... attester S 0..* BackboneElement Profesionales validadores del documento
.... mode S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian S 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... section S 1..* BackboneElement Sección del documento
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... text S 0..1 Narrative Texto que describe el contenido de la sección
.... entry S 0..* Reference(Resource) Recurso referenciado en esta sección

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
... identifier SΣ 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versión del mismo
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type SΣ 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 0..* Reference(Resource) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil para Costa Rica.
... encounter SΣ 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date SΣ 1..1 dateTime Fecha en la cual se editó el documento
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author SΣ 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... name Σ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Título del documento
... note 0..* Annotation For any additional notes
... attester S 0..* BackboneElement Profesionales validadores del documento
.... 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 S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian SΣ 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... relatesTo 0..* RelatedArtifact Relationships to other compositions/documents
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... section SC 1..* BackboneElement Sección del documento
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text SC 0..1 Narrative Texto que describe el contenido de la sección
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta sección
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleReferencedItemCategoryValueSet
http://hl7.org/fhir/ValueSet/referenced-item-category
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.event.detailexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type SΣ 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
... subject SΣ 0..* Reference(Resource) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil para Costa Rica.
... encounter SΣ 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date SΣ 1..1 dateTime Fecha en la cual se editó el documento
... author SΣ 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... title SΣ 1..1 string Título del documento
... attester S 0..* BackboneElement Profesionales validadores del documento
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian SΣ 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... section SC 1..* BackboneElement Sección del documento
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... text SC 0..1 Narrative Texto que describe el contenido de la sección
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta sección

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

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

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... identifier S 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versión del mismo
... status S 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type S 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
... encounter S 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date S 1..1 dateTime Fecha en la cual se editó el documento
... author S 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... title S 1..1 string Título del documento
... attester S 0..* BackboneElement Profesionales validadores del documento
.... mode S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian S 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... section S 1..* BackboneElement Sección del documento
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... text S 0..1 Narrative Texto que describe el contenido de la sección
.... entry S 0..* Reference(Resource) Recurso referenciado en esta sección

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
... identifier SΣ 0..1 Identifier Identificador local para recurso de documento que puede ser distinto para cada versión del mismo
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!SΣ 1..1 code Estado del documento: preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Códigos requeridos por estándar
... type SΣ 1..1 CodeableConcept Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 0..* Reference(Resource) Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil para Costa Rica.
... encounter SΣ 0..1 Reference(Encuentro Clínico) Contexto asistencial en el cual se generó Documento.
... date SΣ 1..1 dateTime Fecha en la cual se editó el documento
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author SΣ 1..* Reference(Profesional de Salud | Rol de Profesional de la Salud | Paciente | Organizaciones) Quien creaó el documento
... name Σ 0..1 string Name for this Composition (computer friendly)
... title SΣ 1..1 string Título del documento
... note 0..* Annotation For any additional notes
... attester S 0..* BackboneElement Profesionales validadores del documento
.... 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 S 1..1 CodeableConcept Rol del validador personal | profesional | legal | official
Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
.... time S 0..1 dateTime Fecha y Hora de la validación
.... party S 0..1 Reference(Paciente | Profesional de Salud | Profesional de Salud | Organizaciones) Quien validó
... custodian SΣ 0..1 Reference(Organizaciones) Organización que mantiene los documentos
... relatesTo 0..* RelatedArtifact Relationships to other compositions/documents
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... section SC 1..* BackboneElement Sección del documento
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code S 0..1 CodeableConcept Código que define el tipo de sección
Binding: DocumentSectionCodes (example)
.... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text SC 0..1 Narrative Texto que describe el contenido de la sección
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
.... entry SC 0..* Reference(Resource) Recurso referenciado en esta sección
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
From the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleReferencedItemCategoryValueSet
http://hl7.org/fhir/ValueSet/referenced-item-category
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
From the FHIR Standard
Composition.event.detailexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

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

 

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