FHIR Clinical Documents
1.0.1 - STU 1
FHIR Clinical Documents
1.0.1 - STU 1
FHIR Clinical Documents, published by HL7 International / Structured Documents. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-clinical-document/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade | Version: 1.0.1 | |||
| Standards status: Informative Active as of 2025-12-22 | Computable Name: ChangeMade | |||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Context of Use
This extension may be used on the following element(s)
Composition
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Change Made | |
  extension |
2..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:change |
1..1 | Extension | Annotation of a change. | |
  extension |
0..0 | Extension | ||
| url |
1..1 | uri | "change" | |
  value[x] |
1..1 | Annotation | Value of extension | |
 extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
 extension |
0..0 | Extension | ||
| url |
1..1 | uri | "version-changed" | |
 value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
 value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 Extension |
0..* | Extension | Change Made | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:change |
1..1 | Extension | Annotation of a change. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Summary
Complex Extension: Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Differential ViewDifferential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Change Made | |
| extension |
2..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:change |
1..1 | Extension | Annotation of a change. | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Change Made | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:change |
1..1 | Extension | Annotation of a change. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "change" | |
| value[x] |
1..1 | Annotation | Value of extension | |
| extension:version-changed |
1..1 | Extension | Version of Document Bundle produced by preceeding version of Compsition. This points to the Document Bundle and not the Composition, as the Document Bundle represents a static document. Intermediate versioning changes to Composition are expected to be handled in a different manner. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "version-changed" | |
| value[x] |
1..1 | Reference(Bundle) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade" | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Summary
Complex Extension: Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 International / Structured Documents.
Package hl7.fhir.uv.fhir-clinical-document#1.0.1 based on FHIR 4.0.1.
Generated
2025-12-22
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