Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: EvidenceReport

Profile of Composition for Evidence Based Medicine IG. The EvidenceReport Profile is used for a base structure (canonical resource management) for a report combining any number of Citation, Evidence, EvidenceVariable, EvidenceReport, and related Resources.

Usages:

• Derived from this Profile: BaselineMeasureReport, EvidenceReportPackage, M11Report, OutcomeMeasureReport... Show 3 more, ParticipantFlowReport, ResearchStudyDataDictionary and SummaryOfFindings
• Examples for this Profile: Composition/104383, NCT03421379_Results and NCT03640312_Results

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	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	0..*	Reference(Resource)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: cite-as
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: part-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: derived-from
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: specification-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: supported-with
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	Composition Status	📍6.0.0-ballot3	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:citeAs.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:partOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:derivedFrom.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:specificationOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:dependsOn.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:supportedWith.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
subject		0..*	Reference(Resource)	Who and/or what the composition is about
attester
mode		1..1	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Contributor Role (preferred)
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: cite-as
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: part-of
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: derived-from
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: specification-of
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: depends-on
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: supported-with
section
code		0..1	CodeableConcept	Classification of section (recommended) Binding: EvidenceReportSectionCode Value Set (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.attester.​mode	Base	preferred	Contributor Role	📦1.0.0	THO v6.5
Composition.section.​code	Base	extensible	EvidenceReportSectionCode Value Set	📦1.0.0-ballot2	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
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	Σ	0..*	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifier of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) 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	Σ	0..*	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
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	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Contributor Role (preferred)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: cite-as
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: part-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: derived-from
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: specification-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: supported-with
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
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	C	0..*	BackboneElement	Composition is broken into sections 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		0..1	CodeableConcept	Classification of section (recommended) Binding: EvidenceReportSectionCode Value Set (extensible)
author		0..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section, when the section is authored by someone other than the composition.author
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 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	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		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
Composition.status	Base	required	Composition Status	📍6.0.0-ballot3	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍6.0.0-ballot3	FHIR Std.
Composition.category	Base	example	Referenced Item Category Value Set	📍6.0.0-ballot3	FHIR Std.
Composition.attester.​mode	Base	preferred	Contributor Role	📦1.0.0	THO v6.5
Composition.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:citeAs.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:partOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:derivedFrom.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:specificationOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:dependsOn.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:supportedWith.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.event.detail	Base	example	v3 Code System ActCode	📦3.0.0	THO v6.5
Composition.section.​code	Base	extensible	EvidenceReportSectionCode Value Set	📦1.0.0-ballot2	This IG
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍6.0.0-ballot3	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍6.0.0-ballot3	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 no entries are included	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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-experimental|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-description|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-purpose|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-copyright|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-approvalDate|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod|5.2.0
• http://hl7.org/fhir/StructureDefinition/additional-language
• http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
• http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
• http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
• http://hl7.org/fhir/StructureDefinition/relatesto-classifier

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject	Σ	0..*	Reference(Resource)	Who and/or what the composition is about
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: cite-as
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: part-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: derived-from
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: specification-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: supported-with
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	Composition Status	📍6.0.0-ballot3	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:citeAs.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:partOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:derivedFrom.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:specificationOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:dependsOn.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:supportedWith.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
subject		0..*	Reference(Resource)	Who and/or what the composition is about
attester
mode		1..1	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Contributor Role (preferred)
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: cite-as
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: part-of
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: derived-from
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: specification-of
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: depends-on
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
Slices for extension				Content/Rules for all slices
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Required Pattern: supported-with
section
code		0..1	CodeableConcept	Classification of section (recommended) Binding: EvidenceReportSectionCode Value Set (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.attester.​mode	Base	preferred	Contributor Role	📦1.0.0	THO v6.5
Composition.section.​code	Base	extensible	EvidenceReportSectionCode Value Set	📦1.0.0-ballot2	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionAlgorithm		0..1	Coding	How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: VersionAlgorithm (extensible)
extension:experimental		0..1	boolean	For testing purposes, not real usage URL: http://hl7.org/fhir/StructureDefinition/artifact-experimental
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:purpose		0..1	markdown	Why this artifact is defined URL: http://hl7.org/fhir/StructureDefinition/artifact-purpose
extension:copyright		0..1	markdown	Use and/or publishing restrictions URL: http://hl7.org/fhir/StructureDefinition/artifact-copyright
extension:copyrightLabel		0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:approvalDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
extension:lastReviewDate		0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
extension:effectivePeriod		0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
extension:additionalLanguage		0..*	code	The additional language URL: http://hl7.org/fhir/StructureDefinition/additional-language Binding: AllLanguages (required): IETF language tag for a human language
extension:extendedContactDetail		0..*	ExtendedContactDetail	Contact details for the publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
extension:publicationDate		0..1	date	Publication date of Resource URL: http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
extension:publicationStatus		0..1	CodeableConcept	Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
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	Σ	0..*	Identifier	Version-independent identifier for the Composition
version	Σ	0..1	string	An explicitly assigned identifier of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) 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	Σ	0..*	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	Σ	1..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	Σ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
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	CodeableConcept	reviewer | editor | endorser | informant | recorder Binding: Contributor Role (preferred)
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
Slices for relatesTo		0..*	BackboneElement	Relationships to other compositions/documents Slice: Unordered, Open by value:type
relatesTo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:citeAs		0..1	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: cite-as
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:partOf		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: part-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:derivedFrom		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: derived-from
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:specificationOf		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: specification-of
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:dependsOn		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
relatesTo:supportedWith		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:classifier		0..1	CodeableConcept	Additional classifiers for RelatedArtifacts URL: http://hl7.org/fhir/StructureDefinition/relatesto-classifier Binding: CitationArtifactClassifier (example): Additional classifiers for the related artifact.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: supported-with
target[x]		1..1		The artifact that is related to this Composition
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
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	C	0..*	BackboneElement	Composition is broken into sections 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		0..1	CodeableConcept	Classification of section (recommended) Binding: EvidenceReportSectionCode Value Set (extensible)
author		0..*	Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section, when the section is authored by someone other than the composition.author
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 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	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		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
Composition.status	Base	required	Composition Status	📍6.0.0-ballot3	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍6.0.0-ballot3	FHIR Std.
Composition.category	Base	example	Referenced Item Category Value Set	📍6.0.0-ballot3	FHIR Std.
Composition.attester.​mode	Base	preferred	Contributor Role	📦1.0.0	THO v6.5
Composition.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:citeAs.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:partOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:derivedFrom.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:specificationOf.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:dependsOn.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.relatesTo:supportedWith.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
Composition.event.detail	Base	example	v3 Code System ActCode	📦3.0.0	THO v6.5
Composition.section.​code	Base	extensible	EvidenceReportSectionCode Value Set	📦1.0.0-ballot2	This IG
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍6.0.0-ballot3	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍6.0.0-ballot3	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 no entries are included	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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-experimental|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-description|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-purpose|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-copyright|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-approvalDate|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod|5.2.0
• http://hl7.org/fhir/StructureDefinition/additional-language
• http://hl7.org/fhir/StructureDefinition/artifact-extended-contact-detail
• http://hl7.org/fhir/StructureDefinition/artifact-publicationDate
• http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
• http://hl7.org/fhir/StructureDefinition/relatesto-classifier

Slices

This structure defines the following Slices:

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

Maturity: 1