US Public Health Profiles Library
1.0.0 - STU1

US Public Health Profiles Library, published by HL7 Public Health Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: US Public Health Composition

Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-composition | Version: 1.0.0
Active as of 2023-10-04 | Computable Name: USPublicHealthComposition

This Composition profile represents a public health composition.

Usage:

- Use this Resource Profile: US Public Health Document Bundle
- Examples for this Resource Profile: Composition/us-ph-composition-example

### Formal Views of Profile Content

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

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

This structure is derived from Composition

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

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.status | required | CompositionStatus
Composition.type | preferred | FHIRDocumentTypeCodes
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.relatesTo:transformed.code | required | Fixed Value: transforms
Composition.relatesTo:replaced.code | required | Fixed Value: replaces

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | CompositionStatus
Composition.type | preferred | FHIRDocumentTypeCodes
Composition.category | example | DocumentClassValueSet
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.relatesTo:transformed.code | required | Fixed Value: transforms
Composition.relatesTo:replaced.code | required | Fixed Value: replaces
Composition.event.code | example | ActCode
Composition.section.code | example | DocumentSectionCodes
Composition.section.mode | required | ListMode
Composition.section.orderedBy | preferred | ListOrderCodes
Composition.section.emptyReason | preferred | ListEmptyReasons

This structure is derived from Composition

Summary

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

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

- The element Composition.relatesTo is sliced based on the value of value:code

Differential View

This structure is derived from Composition

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

Key Elements View

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.status | required | CompositionStatus
Composition.type | preferred | FHIRDocumentTypeCodes
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.relatesTo:transformed.code | required | Fixed Value: transforms
Composition.relatesTo:replaced.code | required | Fixed Value: replaces

Snapshot View

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | CompositionStatus
Composition.type | preferred | FHIRDocumentTypeCodes
Composition.category | example | DocumentClassValueSet
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.relatesTo:transformed.code | required | Fixed Value: transforms
Composition.relatesTo:replaced.code | required | Fixed Value: replaces
Composition.event.code | example | ActCode
Composition.section.code | example | DocumentSectionCodes
Composition.section.mode | required | ListMode
Composition.section.orderedBy | preferred | ListOrderCodes
Composition.section.emptyReason | preferred | ListEmptyReasons

This structure is derived from Composition

Summary

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

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

- The element Composition.relatesTo is sliced based on the value of value:code

Other representations of profile: CSV, Excel, Schematron