Medication Scheme Implementation Guide
1.0.0 - draft Estonia flag

Medication Scheme Implementation Guide, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions

Resource Profile: EETISComposition

Official URL: https://fhir.ee/StructureDefinition/ee-tis-composition Version: 1.0.0
Draft as of 2024-01-31 Computable Name: EETISComposition

Kokkuvõte. Hetkel ei kasuta (vajalik Document Bundle jaoks). This resource gathers together all resources needed to form a document for Medication Overview bundle. Currently replaced with List.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
... subject Σ 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author Σ 1..* Reference(Device) {c} Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Ravimiskeem
ele-1: All FHIR elements must have a @value or children
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 0..0 Coding Code defined by a terminology system
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.modepreferredFixed Value: "professional"
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... category 0..0
... subject 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
... encounter 0..0
... author 1..* Reference(Device) {c} Who and/or what authored the composition
... title 1..1 string Ravimiskeem
... note
.... author[x] 1..1 Individual responsible for the annotation
..... authorReference Reference(EETISPractitionerRole | EETISPractitioner)
..... authorString string
.... time 1..1 dateTime When the annotation was made
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
.... mode 1..1 CodeableConcept personal | professional | legal | official
Fixed Value: As shown
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
... custodian 0..0
... relatesTo 0..0
... event 0..0
... section
.... author 0..0
.... focus 0..0
.... orderedBy 0..1 CodeableConcept SYSTEEM SORTEERIB? Order of section entries
.... Slices for entry 0..* Reference(Resource) {c} A reference to data that supports this section
Slice: Unordered, Open by profile:reference
..... entry:medicationStatementEntry 0..* Reference(EETISMedicationStatement) {c} A reference to data that supports this section
..... entry:medicationDispenseEntry 0..* Reference(EETISPrescriptionDispense) {c} A reference to data that supports this section
..... entry:medicationRequestEntry 0..* Reference(EETISPrescription) {c} A reference to data that supports this section
..... entry:patientEntry 0..* Reference(EE MPI Patient Verified) {c} A reference to data that supports this section
..... entry:medicationEntry 0..* Reference(EETISMedicationEPC | EETISMedicationExtemporal | EETISMedicationDispensedToPatient) {c} A reference to data that supports this section
..... entry:practitionerEntry 0..* Reference(EETISPractitioner) {c} A reference to data that supports this section
..... entry:practitionerRoleEntry 0..* Reference(EETISPractitionerRole) {c} A reference to data that supports this section
..... entry:organizationEntry 0..* Reference(EETISOrganization) {c} A reference to data that supports this section
..... entry:relatedPersonEntry 0..* Reference(EETISRelatedPerson) {c} A reference to data that supports this section
..... entry:pharmacyLocationEntry 0..* Reference(EETISPharmacyLocation) {c} A reference to data that supports this section
..... entry:deviceEntry 0..* Reference(Device) {c} A reference to data that supports this section
.... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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 identifer 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.

... subject Σ 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Device) {c} Who and/or what authored the composition
... name Σ 0..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Ravimiskeem
... note 0..* Annotation For any additional notes
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 1..1 Individual responsible for the annotation
..... authorReference Reference(EETISPractitionerRole | EETISPractitioner)
..... authorString string
.... time Σ 1..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
.... 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 personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 0..0 Coding Code defined by a terminology system
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
... section C 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... text C 0..1 Narrative Text summary of the section, for human interpretation
.... orderedBy 0..1 CodeableConcept SYSTEEM SORTEERIB? Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... Slices for entry C 0..* Reference(Resource) {c} A reference to data that supports this section
Slice: Unordered, Open by profile:reference
..... entry:medicationStatementEntry C 0..* Reference(EETISMedicationStatement) {c} A reference to data that supports this section
..... entry:medicationDispenseEntry C 0..* Reference(EETISPrescriptionDispense) {c} A reference to data that supports this section
..... entry:medicationRequestEntry C 0..* Reference(EETISPrescription) {c} A reference to data that supports this section
..... entry:patientEntry C 0..* Reference(EE MPI Patient Verified) {c} A reference to data that supports this section
..... entry:medicationEntry C 0..* Reference(EETISMedicationEPC | EETISMedicationExtemporal | EETISMedicationDispensedToPatient) {c} A reference to data that supports this section
..... entry:practitionerEntry C 0..* Reference(EETISPractitioner) {c} A reference to data that supports this section
..... entry:practitionerRoleEntry C 0..* Reference(EETISPractitionerRole) {c} A reference to data that supports this section
..... entry:organizationEntry C 0..* Reference(EETISOrganization) {c} A reference to data that supports this section
..... entry:relatedPersonEntry C 0..* Reference(EETISRelatedPerson) {c} A reference to data that supports this section
..... entry:pharmacyLocationEntry C 0..* Reference(EETISPharmacyLocation) {c} A reference to data that supports this section
..... entry:deviceEntry C 0..* Reference(Device) {c} 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.modepreferredFixed Value: "professional"
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard
Composition.event.detailexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
... subject Σ 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author Σ 1..* Reference(Device) {c} Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Ravimiskeem
ele-1: All FHIR elements must have a @value or children
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 0..0 Coding Code defined by a terminology system
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.modepreferredFixed Value: "professional"
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... category 0..0
... subject 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
... encounter 0..0
... author 1..* Reference(Device) {c} Who and/or what authored the composition
... title 1..1 string Ravimiskeem
... note
.... author[x] 1..1 Individual responsible for the annotation
..... authorReference Reference(EETISPractitionerRole | EETISPractitioner)
..... authorString string
.... time 1..1 dateTime When the annotation was made
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
.... mode 1..1 CodeableConcept personal | professional | legal | official
Fixed Value: As shown
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
... custodian 0..0
... relatesTo 0..0
... event 0..0
... section
.... author 0..0
.... focus 0..0
.... orderedBy 0..1 CodeableConcept SYSTEEM SORTEERIB? Order of section entries
.... Slices for entry 0..* Reference(Resource) {c} A reference to data that supports this section
Slice: Unordered, Open by profile:reference
..... entry:medicationStatementEntry 0..* Reference(EETISMedicationStatement) {c} A reference to data that supports this section
..... entry:medicationDispenseEntry 0..* Reference(EETISPrescriptionDispense) {c} A reference to data that supports this section
..... entry:medicationRequestEntry 0..* Reference(EETISPrescription) {c} A reference to data that supports this section
..... entry:patientEntry 0..* Reference(EE MPI Patient Verified) {c} A reference to data that supports this section
..... entry:medicationEntry 0..* Reference(EETISMedicationEPC | EETISMedicationExtemporal | EETISMedicationDispensedToPatient) {c} A reference to data that supports this section
..... entry:practitionerEntry 0..* Reference(EETISPractitioner) {c} A reference to data that supports this section
..... entry:practitionerRoleEntry 0..* Reference(EETISPractitionerRole) {c} A reference to data that supports this section
..... entry:organizationEntry 0..* Reference(EETISOrganization) {c} A reference to data that supports this section
..... entry:relatedPersonEntry 0..* Reference(EETISRelatedPerson) {c} A reference to data that supports this section
..... entry:pharmacyLocationEntry 0..* Reference(EETISPharmacyLocation) {c} A reference to data that supports this section
..... entry:deviceEntry 0..* Reference(Device) {c} A reference to data that supports this section
.... section 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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 identifer 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.

... subject Σ 0..* Reference(EE MPI Patient Verified) {r} Who and/or what the composition is about
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Device) {c} Who and/or what authored the composition
... name Σ 0..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Ravimiskeem
... note 0..* Annotation For any additional notes
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 1..1 Individual responsible for the annotation
..... authorReference Reference(EETISPractitionerRole | EETISPractitioner)
..... authorString string
.... time Σ 1..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... attester 1..1 BackboneElement Practitioner who has verified medication scheme.
.... 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 personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 0..0 Coding Code defined by a terminology system
..... text 1..1 string Plain text representation of the concept
Fixed Value: professional
.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(EETISPractitionerRole | EETISPractitioner | EETISOrganization) Who attested the composition
... section C 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... text C 0..1 Narrative Text summary of the section, for human interpretation
.... orderedBy 0..1 CodeableConcept SYSTEEM SORTEERIB? Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... Slices for entry C 0..* Reference(Resource) {c} A reference to data that supports this section
Slice: Unordered, Open by profile:reference
..... entry:medicationStatementEntry C 0..* Reference(EETISMedicationStatement) {c} A reference to data that supports this section
..... entry:medicationDispenseEntry C 0..* Reference(EETISPrescriptionDispense) {c} A reference to data that supports this section
..... entry:medicationRequestEntry C 0..* Reference(EETISPrescription) {c} A reference to data that supports this section
..... entry:patientEntry C 0..* Reference(EE MPI Patient Verified) {c} A reference to data that supports this section
..... entry:medicationEntry C 0..* Reference(EETISMedicationEPC | EETISMedicationExtemporal | EETISMedicationDispensedToPatient) {c} A reference to data that supports this section
..... entry:practitionerEntry C 0..* Reference(EETISPractitioner) {c} A reference to data that supports this section
..... entry:practitionerRoleEntry C 0..* Reference(EETISPractitionerRole) {c} A reference to data that supports this section
..... entry:organizationEntry C 0..* Reference(EETISOrganization) {c} A reference to data that supports this section
..... entry:relatedPersonEntry C 0..* Reference(EETISRelatedPerson) {c} A reference to data that supports this section
..... entry:pharmacyLocationEntry C 0..* Reference(EETISPharmacyLocation) {c} A reference to data that supports this section
..... entry:deviceEntry C 0..* Reference(Device) {c} 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
Composition.typepreferredFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.modepreferredFixed Value: "professional"
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard
Composition.event.detailexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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