HL7 FHIR Costa Rica - Core
0.0.1-ballot - ci-build

HL7 FHIR Costa Rica - Core, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/core/ and changes regularly. See the Directory of published versions

## Resource Profile: Descripción Clínica

Official URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-composition | Version: 0.0.1-ballot
Standards status: Draft | Maturity Level: 0 | Computable Name: CRCoreComposition
Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Perfil Composition para representar descripciones clínicas, incluyendo metadatos específicos del documento clínico.

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | 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 Constraints: ext-1
identifier | S Σ | 1..1 | Identifier | Identificador único del documento clínico.
status | ?!S Σ | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S Σ | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S Σ | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S Σ | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
date | S Σ | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Título del documento clínico.
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
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
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S Σ | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
section | S C | 1..* | BackboneElement | Secciones del documento clínico. Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
text | S C | 0..1 | Narrative | Contenido narrativo de la sección. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Entradas referenciadas en la sección.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
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().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-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 | Composition.implicitRules, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.date, Composition.author, Composition.title, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.section, Composition.section.modifierExtension, Composition.section.code, Composition.section.text, Composition.section.entry | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Composition.modifierExtension, Composition.attester.modifierExtension, Composition.section.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | A set of resources composed into a single coherent clinical statement with clinical attestation
identifier | S | 1..1 | Identifier | Identificador único del documento clínico.
status | S | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
date | S | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
name |  | 0..0 |  | Name for this Composition (computer friendly)
title | S | 1..1 | string | Título del documento clínico.
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
section | S | 1..* | BackboneElement | Secciones del documento clínico.
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
text | S | 0..1 | Narrative | Contenido narrativo de la sección.
entry | S | 0..* | Reference(Resource) | Entradas referenciadas en la sección.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | 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 Bindings | Purpose
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
url | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique)
identifier | S Σ | 1..1 | Identifier | Identificador único del documento clínico.
version | Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
status | ?!S Σ | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S Σ | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S Σ | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S Σ | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Título del documento clínico.
note |  | 0..* | Annotation | For any additional notes
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
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
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S Σ | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
section | S C | 1..* | BackboneElement | Secciones del documento clínico. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
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 | S C | 0..1 | Narrative | Contenido narrativo 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 | S C | 0..* | Reference(Resource) | Entradas referenciadas en la 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.event.detail | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.1
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
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().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-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 | Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.title, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Composition.extension, Composition.modifierExtension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 15 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Paciente (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-patient|0.0.1-ballot)
- Profesional de la Salud (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot)
- Organización (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot)

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | 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 Constraints: ext-1
identifier | S Σ | 1..1 | Identifier | Identificador único del documento clínico.
status | ?!S Σ | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S Σ | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S Σ | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S Σ | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
date | S Σ | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Título del documento clínico.
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
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
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S Σ | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
section | S C | 1..* | BackboneElement | Secciones del documento clínico. Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
text | S C | 0..1 | Narrative | Contenido narrativo de la sección. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Entradas referenciadas en la sección.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
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().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-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 | Composition.implicitRules, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.date, Composition.author, Composition.title, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.section, Composition.section.modifierExtension, Composition.section.code, Composition.section.text, Composition.section.entry | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Composition.modifierExtension, Composition.attester.modifierExtension, Composition.section.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | A set of resources composed into a single coherent clinical statement with clinical attestation
identifier | S | 1..1 | Identifier | Identificador único del documento clínico.
status | S | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
date | S | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
name |  | 0..0 |  | Name for this Composition (computer friendly)
title | S | 1..1 | string | Título del documento clínico.
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
section | S | 1..* | BackboneElement | Secciones del documento clínico.
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
text | S | 0..1 | Narrative | Contenido narrativo de la sección.
entry | S | 0..* | Reference(Resource) | Entradas referenciadas en la sección.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition(5.0.0) | 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 Bindings | Purpose
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
url | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique)
identifier | S Σ | 1..1 | Identifier | Identificador único del documento clínico.
version | Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
status | ?!S Σ | 1..1 | code | Estado del documento clínico. Binding: CompositionStatus (required): ValueSet de estados de Composition definidos en FHIR.
type | S Σ | 1..1 | CodeableConcept | Tipo de documento clínico. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types (required): ValueSet de tipos de documentos clínicos basado en LOINC para Costa Rica.
category | S Σ | 0..* | CodeableConcept | Categoría del documento clínico. Binding: ReferencedItemCategoryValueSet (extensible): ValueSet de categorías de ítems referenciados definidos en FHIR.
subject | S Σ | 1..1 | Reference(Paciente(0.0.1-ballot)) | Paciente al que se refiere el documento clínico.
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Fecha y hora de creación del documento clínico.
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Título del documento clínico.
note |  | 0..* | Annotation | For any additional notes
attester | S | 0..1 | BackboneElement | Persona que atestigua el documento clínico.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode | S | 1..1 | CodeableConcept | Modo de atestiguamiento. Binding: CompositionAttestationMode (required): ValueSet de modos de atestiguamiento definidos en FHIR. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: legal
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
time | S | 0..1 | dateTime | Fecha y hora del atestiguamiento.
party |  | 0..1 | Reference(Paciente(0.0.1-ballot) | Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot)) | Who attested the composition
custodian | S Σ | 1..1 | Reference(Organización(0.0.1-ballot)) | Organización responsable del documento clínico.
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
section | S C | 1..* | BackboneElement | Secciones del documento clínico. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 0..1 | CodeableConcept | Código de la sección del documento clínico. Binding: DocumentSectionCodes (extensible): ValueSet de códigos de secciones de documentos definidos en FHIR.
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 | S C | 0..1 | Narrative | Contenido narrativo 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 | S C | 0..* | Reference(Resource) | Entradas referenciadas en la 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Composition.status | Base | required | Composition Status | 📍5.0.0 | FHIR Std.
Composition.type | Base | required | https://hl7.or.cr/fhir/terminology/ValueSet/cr-composition-document-types | Not State | Unknown
Composition.category | Base | extensible | Referenced Item Category Value Set | 📍5.0.0 | FHIR Std.
Composition.attester.​mode | Base | required | Composition Attestation Mode | 📍5.0.0 | FHIR Std.
Composition.event.detail | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.1
Composition.section.​code | Base | extensible | Document Section Codes | 📍5.0.0 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍5.0.0 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section | 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 | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
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().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-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 | Composition.meta, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.modifierExtension, Composition.url, Composition.identifier, Composition.version, Composition.status, Composition.type, Composition.category, Composition.subject, Composition.encounter, Composition.date, Composition.useContext, Composition.author, Composition.title, Composition.note, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.custodian, Composition.relatesTo, Composition.event, Composition.event.extension, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.section, Composition.section.extension, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Composition.extension, Composition.modifierExtension, Composition.attester.extension, Composition.attester.modifierExtension, Composition.event.extension, Composition.event.modifierExtension, Composition.section.extension, Composition.section.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Summary

Mandatory: 4 elements
Must-Support: 15 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Paciente (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-patient|0.0.1-ballot)
- Profesional de la Salud (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot)
- Organización (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron