HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.1.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions

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Resource Profile: US Public Health Composition

This Composition profile represents a public health composition.

Usage:

• Derived from this Resource Profile: Electronic Initial Case Report Composition and RR Composition
• Use this Resource Profile: US Public Health Document Bundle

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 Composition

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
identifier	S	1..1	Identifier	Public Health Composition identifier
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Type of this public health report
subject	S	1..1	Reference(US Public Health Patient)	Patient
encounter	S	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	S	1..1	string	Human Readable name/title
custodian	S	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
code	S	1..1	code	replaces | transforms | signs | appends Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
code	S	1..1	code	replaces | transforms | signs | appends Fixed Value: replaces
target[x]	S	1..1	Identifier, Reference(Composition)	Identifier/Reference to the Document or Composition transformed
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Public Health Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type of this public health report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	SΣ	1..1	Reference(US Public Health Patient)	Patient
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title
custodian	SΣ	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: replaces
target[x]	S	1..1		Identifier/Reference to the Document or Composition transformed
targetIdentifier			Identifier
targetReference			Reference(Composition)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceTransformed.code	required	Fixed Value: transforms http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceReplaced.code	required	Fixed Value: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
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: 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		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Public Health Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type of this public health report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Public Health Patient)	Patient
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SΣ	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo: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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: replaces
target[x]	S	1..1		Identifier/Reference to the Document or Composition transformed
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		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(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	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceTransformed.code	required	Fixed Value: transforms http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceReplaced.code	required	Fixed Value: 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	ListMode 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.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().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()

This structure is derived from Composition

Summary

Mandatory: 5 elements
Must-Support: 18 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• US Public Health Patient (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient)
• US Public Health Encounter (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-encounter)
• US Public Health PractitionerRole (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Public Health Organization (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
• http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
identifier	S	1..1	Identifier	Public Health Composition identifier
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Type of this public health report
subject	S	1..1	Reference(US Public Health Patient)	Patient
encounter	S	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	S	1..1	string	Human Readable name/title
custodian	S	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
code	S	1..1	code	replaces | transforms | signs | appends Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
code	S	1..1	code	replaces | transforms | signs | appends Fixed Value: replaces
target[x]	S	1..1	Identifier, Reference(Composition)	Identifier/Reference to the Document or Composition transformed
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Public Health Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type of this public health report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	SΣ	1..1	Reference(US Public Health Patient)	Patient
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title
custodian	SΣ	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: replaces
target[x]	S	1..1		Identifier/Reference to the Document or Composition transformed
targetIdentifier			Identifier
targetReference			Reference(Composition)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceTransformed.code	required	Fixed Value: transforms http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceReplaced.code	required	Fixed Value: replaces http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	US Public Health Composition Profile
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: 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		1..*	Extension	Extension Slice: Unordered, Open by value:url
sliceExtensionVersionNumber	S	1..1	string	Public Health Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
sliceExtensionInformationRecipient	S	0..*	Reference(US Core Practitioner Profile(4.0.0) | US Public Health PractitionerRole | US Public Health Organization)	Information Recipient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Public Health Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type of this public health report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Public Health Patient)	Patient
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Public Health PractitionerRole | US Core Practitioner Profile(4.0.0) | US Public Health Organization | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SΣ	0..1	Reference(US Public Health Organization)	Organization which maintains the composition
Slices for relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo: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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
relatesTo:sliceTransformed	S	0..1	BackboneElement	Document or Composition that this Composition is transformed from
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: transforms
target[x]	S	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	S	0..1	BackboneElement	Document or Composition that this Composition replaces
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Fixed Value: replaces
target[x]	S	1..1		Identifier/Reference to the Document or Composition transformed
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		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(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	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceTransformed.code	required	Fixed Value: transforms http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.relatesTo:sliceReplaced.code	required	Fixed Value: 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	ListMode 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.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().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()

This structure is derived from Composition

Summary

Mandatory: 5 elements
Must-Support: 18 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• US Public Health Patient (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient)
• US Public Health Encounter (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-encounter)
• US Public Health PractitionerRole (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Public Health Organization (http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
• http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron