FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

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Resource Profile: FR Composition Document

Ce profil est utilisé pour représenter un document médical.

Usages:

• Use this Profile: FR Bundle Document
• Refer to this Profile: FR Composition Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	ClinicalDocumentComposition(1.1.0)	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-version	C	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1, comp-1
extension:data-enterer		0..1	(Complex)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension Constraints: ext-1
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		1..1	Extension	Date de la saisie Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant		0..*	(Complex)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient		0..*	(Complex)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complex)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension Constraints: ext-1
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: ext-1, comp-3
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent		0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension Constraints: ext-1
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made		0..1	(Complex)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Slices for extension				Content/Rules for all slices
extension:R5-Composition-status		0..1	code	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	Σ	0..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 107903-7
display		1..1	string	Representation defined by the system Fixed Value: Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension Constraints: ext-1
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		1..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legal_attester		1..1	BackboneElement	Responsable du document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
Slices for relatesTo		0..*	BackboneElement	Document de référence Slice: Unordered, Open by value:code, type:target
relatesTo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Closed by type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: appends
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: transforms
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices for event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2, comp-4
Slices for extension				Content/Rules for all slices
extension:change-made		0..1	(Complex)	Change Made URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
text	SC	1..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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:type.value[x], Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:function.value[x], Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:time.value[x], Composition.extension:data-enterer.extension:party, Composition.extension:data-enterer.extension:party.value[x], Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:type.value[x], Composition.extension:informant.extension:type.value[x]:valueCodeableConcept, Composition.extension:informant.extension:function, Composition.extension:informant.extension:function.value[x], Composition.extension:informant.extension:time, Composition.extension:informant.extension:time.value[x], Composition.extension:informant.extension:party, Composition.extension:informant.extension:party.value[x], Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:type.value[x], Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:function.value[x], Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:time.value[x], Composition.extension:information-recipient.extension:party, Composition.extension:information-recipient.extension:party.value[x], Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:type.value[x], Composition.extension:participant.extension:function, Composition.extension:participant.extension:function.value[x], Composition.extension:participant.extension:time, Composition.extension:participant.extension:time.value[x], Composition.extension:participant.extension:party, Composition.extension:participant.extension:party.value[x], Composition.extension:consent, Composition.extension:basedOn, Composition.extension:basedOn.value[x], Composition.extension:change-made, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension:R5-Composition-status, Composition.type, Composition.category, Composition.category:clinicalnotecategory, Composition.subject, Composition.subject.reference, Composition.encounter, Composition.date, Composition.author, Composition.author.extension, Composition.author.extension:time, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester:legal_attester, Composition.attester:legal_attester.modifierExtension, Composition.attester:legal_attester.mode, Composition.attester:legal_attester.time, Composition.attester:legal_attester.party, Composition.attester:professional_attester, Composition.attester:professional_attester.modifierExtension, Composition.attester:professional_attester.mode, Composition.attester:professional_attester.time, Composition.attester:professional_attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.relatesTo.target[x]:targetIdentifier, Composition.relatesTo.target[x]:targetIdentifier.use, Composition.relatesTo.target[x]:targetIdentifier.type, Composition.relatesTo.target[x]:targetIdentifier.system, Composition.relatesTo.target[x]:targetIdentifier.value, Composition.relatesTo:replaced_document, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.code, Composition.relatesTo:replaced_document.target[x], Composition.relatesTo:replaced_document.target[x]:targetIdentifier, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value, Composition.relatesTo:appended_document, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.code, Composition.relatesTo:appended_document.target[x], Composition.relatesTo:appended_document.target[x]:targetIdentifier, Composition.relatesTo:appended_document.target[x]:targetIdentifier.use, Composition.relatesTo:appended_document.target[x]:targetIdentifier.type, Composition.relatesTo:appended_document.target[x]:targetIdentifier.system, Composition.relatesTo:appended_document.target[x]:targetIdentifier.value, Composition.relatesTo:transformed_document, Composition.relatesTo:transformed_document.modifierExtension, Composition.relatesTo:transformed_document.code, Composition.relatesTo:transformed_document.target[x], Composition.relatesTo:transformed_document.target[x]:targetIdentifier, Composition.event, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.event:principalEvent, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.event:principalEvent.period, Composition.event:principalEvent.detail, Composition.section, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:party, Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:function, Composition.extension:informant.extension:time, Composition.extension:informant.extension:party, Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:party, Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:function, Composition.extension:participant.extension:time, Composition.extension:participant.extension:party, Composition.extension:consent, Composition.extension:basedOn, Composition.extension:change-made, Composition.modifierExtension, Composition.status.extension:R5-Composition-status, Composition.author.extension, Composition.author.extension:time, Composition.attester.modifierExtension, Composition.attester:legal_attester.modifierExtension, Composition.attester:professional_attester.modifierExtension, Composition.relatesTo.modifierExtension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:transformed_document.modifierExtension, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			ClinicalDocumentComposition(1.1.0)
meta
Slices for profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:canonical		0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0
language	S	1..1	code	Language of the resource content
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:R5-Composition-version	C	1..1	0.1.0	Version du document
extension:data-enterer		0..1	DataEntererExtension(1.1.0)	Data Enterer Extension
extension		3..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension:time		1..1	Extension	Date de la saisie
extension:party		1..1	Extension	Opérateur
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:informant		0..*	InformantExtension(1.1.0)	Informant Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur
extension:party		1..1	Extension	Informateur
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
extension:information-recipient		0..*	InformationRecipientExtension(1.1.0)	Information Recipient Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:party		1..1	Extension	Destinataire
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:participant		0..*	ParticipantExtension(1.1.0)	Participant Extension
extension		3..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension:party	C	1..1	Extension	Identification du participant
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:basedOn		0..*	BasedOn(5.3.0)	Fulfills plan, proposal or order
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
identifier	S	1..1	Identifier	Identifiant lot de versions
status		1..1	code	Statut du document
type		1..1	CodeableConcept	Type de document
subject		1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date		1..1	dateTime	Date de création
author		1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension
title		1..1	string	Titre du document CDA
confidentiality	S	1..1	code	Niveau de confidentialité
attester		1..*	BackboneElement	Attests to accuracy of composition
Slices for attester				Content/Rules for all slices
attester:legal_attester		1..1	BackboneElement	Responsable du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian		1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
relatesTo		0..*	BackboneElement	Document de référence
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for relatesTo				Content/Rules for all slices
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
code		1..1	code	replaces | transforms | signs | appends Required Pattern: transforms
Slices for event		1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension
period		0..1	Period	Date et heure de l’évènement documenté
detail		0..1	Reference(Resource)	The event(s) being documented
event:principalEvent		1..1	BackboneElement	Evènement documenté principal
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension
period		1..1	Period	Date et heure de l’évènement documenté
section	C	1..*	BackboneElement	Composition is broken into sections
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
text		1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	ClinicalDocumentComposition(1.1.0)	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	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		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-version	C	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1, comp-1
extension:data-enterer		0..1	(Complex)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		1..1	Extension	Date de la saisie Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant		0..*	(Complex)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient		0..*	(Complex)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complex)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: ext-1, comp-3
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent		0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension Constraints: ext-1
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made		0..1	(Complex)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-status		0..1	code	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
value		0..1	string	Primitive value for code
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	Σ	0..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 107903-7
display		1..1	string	Representation defined by the system Fixed Value: Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		1..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester: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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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
attester:legal_attester		1..1	BackboneElement	Responsable du document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
Slices for relatesTo		0..*	BackboneElement	Document de référence Slice: Unordered, Open by value:code, type:target
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Closed by type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: appends
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: transforms
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices for event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event: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 Constraints: ext-1
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2, comp-4
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:change-made		0..1	(Complex)	Change Made URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
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	SC	1..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
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	Status	Usage	ValueSet	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Composition.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.3
Composition.event:principalEvent.​code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.3
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Composition.meta, Composition.meta.extension, Composition.meta.versionId, Composition.meta.lastUpdated, Composition.meta.source, Composition.meta.profile, Composition.meta.profile:canonical, Composition.meta.security, Composition.meta.tag, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:type.value[x], Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:function.value[x], Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:time.value[x], Composition.extension:data-enterer.extension:party, Composition.extension:data-enterer.extension:party.value[x], Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:type.value[x], Composition.extension:informant.extension:type.value[x]:valueCodeableConcept, Composition.extension:informant.extension:function, Composition.extension:informant.extension:function.value[x], Composition.extension:informant.extension:time, Composition.extension:informant.extension:time.value[x], Composition.extension:informant.extension:party, Composition.extension:informant.extension:party.value[x], Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:type.value[x], Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:function.value[x], Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:time.value[x], Composition.extension:information-recipient.extension:party, Composition.extension:information-recipient.extension:party.value[x], Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:type.value[x], Composition.extension:participant.extension:function, Composition.extension:participant.extension:function.value[x], Composition.extension:participant.extension:time, Composition.extension:participant.extension:time.value[x], Composition.extension:participant.extension:party, Composition.extension:participant.extension:party.value[x], Composition.extension:consent, Composition.extension:basedOn, Composition.extension:basedOn.value[x], Composition.extension:change-made, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension, Composition.status.extension:R5-Composition-status, Composition.type, Composition.category, Composition.category:clinicalnotecategory, Composition.subject, Composition.subject.extension, Composition.subject.reference, Composition.subject.type, Composition.subject.identifier, Composition.subject.display, Composition.encounter, Composition.date, Composition.author, Composition.author.extension, Composition.author.extension:time, Composition.author.reference, Composition.author.type, Composition.author.identifier, Composition.author.display, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.attester:legal_attester, Composition.attester:legal_attester.extension, Composition.attester:legal_attester.modifierExtension, Composition.attester:legal_attester.mode, Composition.attester:legal_attester.time, Composition.attester:legal_attester.party, Composition.attester:professional_attester, Composition.attester:professional_attester.extension, Composition.attester:professional_attester.modifierExtension, Composition.attester:professional_attester.mode, Composition.attester:professional_attester.time, Composition.attester:professional_attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.relatesTo.target[x]:targetIdentifier, Composition.relatesTo.target[x]:targetIdentifier.extension, Composition.relatesTo.target[x]:targetIdentifier.use, Composition.relatesTo.target[x]:targetIdentifier.type, Composition.relatesTo.target[x]:targetIdentifier.system, Composition.relatesTo.target[x]:targetIdentifier.value, Composition.relatesTo.target[x]:targetIdentifier.period, Composition.relatesTo.target[x]:targetIdentifier.assigner, Composition.relatesTo:replaced_document, Composition.relatesTo:replaced_document.extension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.code, Composition.relatesTo:replaced_document.target[x], Composition.relatesTo:replaced_document.target[x]:targetIdentifier, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.extension, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.period, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.assigner, Composition.relatesTo:appended_document, Composition.relatesTo:appended_document.extension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.code, Composition.relatesTo:appended_document.target[x], Composition.relatesTo:appended_document.target[x]:targetIdentifier, Composition.relatesTo:appended_document.target[x]:targetIdentifier.extension, Composition.relatesTo:appended_document.target[x]:targetIdentifier.use, Composition.relatesTo:appended_document.target[x]:targetIdentifier.type, Composition.relatesTo:appended_document.target[x]:targetIdentifier.system, Composition.relatesTo:appended_document.target[x]:targetIdentifier.value, Composition.relatesTo:appended_document.target[x]:targetIdentifier.period, Composition.relatesTo:appended_document.target[x]:targetIdentifier.assigner, Composition.relatesTo:transformed_document, Composition.relatesTo:transformed_document.extension, Composition.relatesTo:transformed_document.modifierExtension, Composition.relatesTo:transformed_document.code, Composition.relatesTo:transformed_document.target[x], Composition.relatesTo:transformed_document.target[x]:targetIdentifier, Composition.event, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.event:principalEvent, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.event:principalEvent.code, Composition.event:principalEvent.period, Composition.event:principalEvent.detail, Composition.section, Composition.section.extension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.meta.extension, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:party, Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:function, Composition.extension:informant.extension:time, Composition.extension:informant.extension:party, Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:party, Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:function, Composition.extension:participant.extension:time, Composition.extension:participant.extension:party, Composition.extension:consent, Composition.extension:basedOn, Composition.extension:change-made, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:R5-Composition-status, Composition.subject.extension, Composition.author.extension, Composition.author.extension:time, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester:legal_attester.extension, Composition.attester:legal_attester.modifierExtension, Composition.attester:professional_attester.extension, Composition.attester:professional_attester.modifierExtension, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.target[x]:targetIdentifier.extension, Composition.relatesTo:replaced_document.extension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.extension, Composition.relatesTo:appended_document.extension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.target[x]:targetIdentifier.extension, Composition.relatesTo:transformed_document.extension, Composition.relatesTo:transformed_document.modifierExtension, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.section.extension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 21 elements(11 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR RelatedPerson Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-related-person-document|0.1.0)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
• ServiceRequest (http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
• FR Device Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-device-auteur-document|0.1.0)
• FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
• FR Composition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension|0.1.0
• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension|0.1.0
• http://hl7.org/fhir/StructureDefinition/note|5.3.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.meta.profile
• The element 1 is sliced based on the value of Composition.event

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	ClinicalDocumentComposition(1.1.0)	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-version	C	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1, comp-1
extension:data-enterer		0..1	(Complex)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension Constraints: ext-1
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		1..1	Extension	Date de la saisie Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant		0..*	(Complex)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient		0..*	(Complex)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complex)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension Constraints: ext-1
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: ext-1, comp-3
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent		0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension Constraints: ext-1
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made		0..1	(Complex)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Slices for extension				Content/Rules for all slices
extension:R5-Composition-status		0..1	code	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	Σ	0..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 107903-7
display		1..1	string	Representation defined by the system Fixed Value: Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension Constraints: ext-1
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		1..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legal_attester		1..1	BackboneElement	Responsable du document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
Slices for relatesTo		0..*	BackboneElement	Document de référence Slice: Unordered, Open by value:code, type:target
relatesTo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Closed by type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: appends
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: transforms
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices for event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2, comp-4
Slices for extension				Content/Rules for all slices
extension:change-made		0..1	(Complex)	Change Made URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
text	SC	1..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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:type.value[x], Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:function.value[x], Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:time.value[x], Composition.extension:data-enterer.extension:party, Composition.extension:data-enterer.extension:party.value[x], Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:type.value[x], Composition.extension:informant.extension:type.value[x]:valueCodeableConcept, Composition.extension:informant.extension:function, Composition.extension:informant.extension:function.value[x], Composition.extension:informant.extension:time, Composition.extension:informant.extension:time.value[x], Composition.extension:informant.extension:party, Composition.extension:informant.extension:party.value[x], Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:type.value[x], Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:function.value[x], Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:time.value[x], Composition.extension:information-recipient.extension:party, Composition.extension:information-recipient.extension:party.value[x], Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:type.value[x], Composition.extension:participant.extension:function, Composition.extension:participant.extension:function.value[x], Composition.extension:participant.extension:time, Composition.extension:participant.extension:time.value[x], Composition.extension:participant.extension:party, Composition.extension:participant.extension:party.value[x], Composition.extension:consent, Composition.extension:basedOn, Composition.extension:basedOn.value[x], Composition.extension:change-made, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension:R5-Composition-status, Composition.type, Composition.category, Composition.category:clinicalnotecategory, Composition.subject, Composition.subject.reference, Composition.encounter, Composition.date, Composition.author, Composition.author.extension, Composition.author.extension:time, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester:legal_attester, Composition.attester:legal_attester.modifierExtension, Composition.attester:legal_attester.mode, Composition.attester:legal_attester.time, Composition.attester:legal_attester.party, Composition.attester:professional_attester, Composition.attester:professional_attester.modifierExtension, Composition.attester:professional_attester.mode, Composition.attester:professional_attester.time, Composition.attester:professional_attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.relatesTo.target[x]:targetIdentifier, Composition.relatesTo.target[x]:targetIdentifier.use, Composition.relatesTo.target[x]:targetIdentifier.type, Composition.relatesTo.target[x]:targetIdentifier.system, Composition.relatesTo.target[x]:targetIdentifier.value, Composition.relatesTo:replaced_document, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.code, Composition.relatesTo:replaced_document.target[x], Composition.relatesTo:replaced_document.target[x]:targetIdentifier, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value, Composition.relatesTo:appended_document, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.code, Composition.relatesTo:appended_document.target[x], Composition.relatesTo:appended_document.target[x]:targetIdentifier, Composition.relatesTo:appended_document.target[x]:targetIdentifier.use, Composition.relatesTo:appended_document.target[x]:targetIdentifier.type, Composition.relatesTo:appended_document.target[x]:targetIdentifier.system, Composition.relatesTo:appended_document.target[x]:targetIdentifier.value, Composition.relatesTo:transformed_document, Composition.relatesTo:transformed_document.modifierExtension, Composition.relatesTo:transformed_document.code, Composition.relatesTo:transformed_document.target[x], Composition.relatesTo:transformed_document.target[x]:targetIdentifier, Composition.event, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event.period, Composition.event.detail, Composition.event:principalEvent, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.event:principalEvent.period, Composition.event:principalEvent.detail, Composition.section, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:party, Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:function, Composition.extension:informant.extension:time, Composition.extension:informant.extension:party, Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:party, Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:function, Composition.extension:participant.extension:time, Composition.extension:participant.extension:party, Composition.extension:consent, Composition.extension:basedOn, Composition.extension:change-made, Composition.modifierExtension, Composition.status.extension:R5-Composition-status, Composition.author.extension, Composition.author.extension:time, Composition.attester.modifierExtension, Composition.attester:legal_attester.modifierExtension, Composition.attester:professional_attester.modifierExtension, Composition.relatesTo.modifierExtension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:transformed_document.modifierExtension, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			ClinicalDocumentComposition(1.1.0)
meta
Slices for profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:canonical		0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0
language	S	1..1	code	Language of the resource content
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:R5-Composition-version	C	1..1	0.1.0	Version du document
extension:data-enterer		0..1	DataEntererExtension(1.1.0)	Data Enterer Extension
extension		3..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie
extension:time		1..1	Extension	Date de la saisie
extension:party		1..1	Extension	Opérateur
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:informant		0..*	InformantExtension(1.1.0)	Informant Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur
extension:party		1..1	Extension	Informateur
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
extension:information-recipient		0..*	InformationRecipientExtension(1.1.0)	Information Recipient Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:party		1..1	Extension	Destinataire
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:participant		0..*	ParticipantExtension(1.1.0)	Participant Extension
extension		3..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation
extension:party	C	1..1	Extension	Identification du participant
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:basedOn		0..*	BasedOn(5.3.0)	Fulfills plan, proposal or order
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
identifier	S	1..1	Identifier	Identifiant lot de versions
status		1..1	code	Statut du document
type		1..1	CodeableConcept	Type de document
subject		1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date		1..1	dateTime	Date de création
author		1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension
title		1..1	string	Titre du document CDA
confidentiality	S	1..1	code	Niveau de confidentialité
attester		1..*	BackboneElement	Attests to accuracy of composition
Slices for attester				Content/Rules for all slices
attester:legal_attester		1..1	BackboneElement	Responsable du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian		1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
relatesTo		0..*	BackboneElement	Document de référence
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
Slices for relatesTo				Content/Rules for all slices
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
type		1..1	CodeableConcept	Description of identifier
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
type		1..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
code		1..1	code	replaces | transforms | signs | appends Required Pattern: transforms
Slices for event		1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event:All Slices				Content/Rules for all slices
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension
period		0..1	Period	Date et heure de l’évènement documenté
detail		0..1	Reference(Resource)	The event(s) being documented
event:principalEvent		1..1	BackboneElement	Evènement documenté principal
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension
period		1..1	Period	Date et heure de l’évènement documenté
section	C	1..*	BackboneElement	Composition is broken into sections
Slices for extension				Content/Rules for all slices
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note
code		1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
text		1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition	C	0..*	ClinicalDocumentComposition(1.1.0)	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: clindoc-limit-participantType
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	1..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	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		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-version	C	1..1	string	Version du document URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1, comp-1
extension:data-enterer		0..1	(Complex)	Data Enterer Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : opérateur de saisie Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		1..1	Extension	Date de la saisie Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Opérateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
extension:informant		0..*	(Complex)	Informant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : Informateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Informateur Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
extension:information-recipient		0..*	(Complex)	Information Recipient Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation : destinataire Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: FRValueSetParticipationType (0.1.0) (required)
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (3.0.0) (extensible)
extension:time		0..1	Extension	Time period of participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	Destinataire Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
extension:participant	S	0..*	(Complex)	Participant Extension URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Type de participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J144_ParticipationType_CISIS (20210326120000) (required)
extension:function		0..1	Extension	Précision sur le rôle fonctionnel Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: JDV_J47_FunctionCode_CISIS (20250523120000) (required)
extension:time		1..1	Extension	Date de début et/ou de fin de la participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	SC	1..1	Extension	Identification du participant Constraints: ext-1, comp-3
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"party"
value[x]		1..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
extension:consent		0..*	Reference(Consent)	consent URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension Constraints: ext-1
extension:basedOn		0..*	(Complex)	Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-basedOn"
value[x]		1..1	Reference(ServiceRequest)	Association du document à une prescription
extension:change-made		0..1	(Complex)	Note of changes made, calculating changes maybe required for safety as this extension may not contain all changes. Experimental, may overlap with other elements such as FHIR R6 note. URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	SΣ	1..1	Identifier	Identifiant lot de versions
status	?!SΣ	1..1	code	Statut du document Binding: CompositionStatus (required): The workflow/clinical status of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:R5-Composition-status		0..1	code	This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status Binding: R5CompositionStatusForR4 (0.1.0) (required): The workflow/clinical status of the composition. Constraints: ext-1
value		0..1	string	Primitive value for code
type	SΣ	1..1	CodeableConcept	Type de document Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	Σ	0..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:clinicalnotecategory	Σ	0..1	CodeableConcept	Category for Clinical Note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 107903-7
display		1..1	string	Representation defined by the system Fixed Value: Clinical note
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0))	Patient / Usager
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(FR Encounter Care Document(0.1.0))	Context of the Composition
date	SΣ	1..1	dateTime	Date de création
author	SΣ	1..*	Reference(FR PractitionerRole Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0) | FR Device Document(0.1.0))	Auteur du document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:time		1..1	dateTime	Horodatage de la participation de l’auteur. URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Titre du document CDA
confidentiality	SΣ	1..1	code	Niveau de confidentialité Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester		1..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester: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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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
attester:legal_attester		1..1	BackboneElement	Responsable du document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
attester:professional_attester		0..*	BackboneElement	Professionnel attestant la validité du contenu du document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		1..1	dateTime	When the composition was attested
party		1..1	Reference(FR PractitionerRole Document(0.1.0))	Who attested the composition
custodian	SΣ	1..1	Reference(FR Organization Document(0.1.0))	Structure chargée de la conservation du document
Slices for relatesTo		0..*	BackboneElement	Document de référence Slice: Unordered, Open by value:code, type:target
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Closed by type:$this
targetIdentifier			Identifier
targetReference			Reference(FR Composition Document(0.1.0))
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:replaced_document		0..1	BackboneElement	The document(s) being superceded
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: replaces
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:appended_document		0..*	BackboneElement	The document(s) being appended too
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: appends
Slices for target[x]		1..1	Identifier	Target of the relationship Slice: Unordered, Closed by type:$this
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		1..1	Identifier	Target of the relationship
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
relatesTo:transformed_document		0..1	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. Required Pattern: transforms
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
Slices for target[x]				Content/Rules for all slices
target[x]:targetIdentifier		0..1	Identifier	Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document
Slices for event	Σ	1..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by value:$this
event: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 Constraints: ext-1
extension:performer		0..1	Reference(FR PractitionerRole Document(0.1.0))	FR Performer Event Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
event:principalEvent	Σ	1..1	BackboneElement	Evènement documenté principal
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:performer		1..1	Reference(FR PractitionerRole Document(0.1.0))	Exécutant de l'évènement documenté principal URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period	Σ	1..1	Period	Date et heure de l’évènement documenté
detail	Σ	0..1	Reference(Resource)	The event(s) being documented
section	SC	1..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2, comp-4
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:change-made		0..1	(Complex)	Change Made URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade Constraints: ext-1
extension:section-note		0..*	Annotation	Commentaires supplémentaires pour chaque section. URL: http://hl7.org/fhir/StructureDefinition/note Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JdvSectionDocumentCisis (20260619134042) (required)
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	SC	1..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
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	Status	Usage	ValueSet	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Composition.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.extension:data-enterer.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:informant.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:information-recipient.​extension:type.value[x]	Base	required	FR ValueSet Participation Type	📍0.1.0	This IG
Composition.extension:information-recipient.​extension:function.value[x]	Base	extensible	ParticipationFunction	📍3.0.0	THO v7.3
Composition.extension:participant.​extension:type.value[x]	Base	required	JDV_J144_ParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
Composition.extension:participant.​extension:function.value[x]	Base	required	JDV_J47_FunctionCode_CISIS	📍20250523120000	Terminologies de Santé v1.11
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.category:clinicalnotecategory	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:professional_attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:replaced_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.relatesTo:appended_document.​target[x]:targetIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.relatesTo:transformed_document.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.3
Composition.event:principalEvent.​code	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.3
Composition.section.​code	Base	required	JDV Section Document CISIS	📍20260619134042	Terminologies de Santé v1.11
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
clindoc-limit-participantType	error	Composition	The R4 FHIR Clinical Document Composition Profile contains specific extensions for data entry person, informant, information recipient, primary information recipient and tracker. So, they are not allowed in the participant extension in the R4 profile. In R6, the intention is to have dedicated-named slices of a backbone element.	extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='ENT').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='INF').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='IRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='PRCP').not() and extension.where(url='http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension').extension.where(url='type').value.coding.exists(system='http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code='TRC').not()
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
comp-1	error	Composition.extension:R5-Composition-version	La valeur de l'extension versionNumber doit être un entier.	value.matches('^[0-9]+$')
comp-3	error	Composition.extension:participant.extension:party	La valeur du PractitionerRole.code dans l'extension[party]' doit être 'PROV' ou 'AGNT'.	value.resolve().code.coding.code.contains('PROV') or value.resolve().code.coding.code.contains('AGNT')
comp-4	error	Composition.section	Une section ne peut pas contenir à la fois des entrées et des sous-sections.	not(exists(f:entry) and exists(f:section))
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Composition.meta, Composition.meta.extension, Composition.meta.versionId, Composition.meta.lastUpdated, Composition.meta.source, Composition.meta.profile, Composition.meta.profile:canonical, Composition.meta.security, Composition.meta.tag, Composition.implicitRules, Composition.language, Composition.text, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:type.value[x], Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:function.value[x], Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:time.value[x], Composition.extension:data-enterer.extension:party, Composition.extension:data-enterer.extension:party.value[x], Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:type.value[x], Composition.extension:informant.extension:type.value[x]:valueCodeableConcept, Composition.extension:informant.extension:function, Composition.extension:informant.extension:function.value[x], Composition.extension:informant.extension:time, Composition.extension:informant.extension:time.value[x], Composition.extension:informant.extension:party, Composition.extension:informant.extension:party.value[x], Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:type.value[x], Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:function.value[x], Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:time.value[x], Composition.extension:information-recipient.extension:party, Composition.extension:information-recipient.extension:party.value[x], Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:type.value[x], Composition.extension:participant.extension:function, Composition.extension:participant.extension:function.value[x], Composition.extension:participant.extension:time, Composition.extension:participant.extension:time.value[x], Composition.extension:participant.extension:party, Composition.extension:participant.extension:party.value[x], Composition.extension:consent, Composition.extension:basedOn, Composition.extension:basedOn.value[x], Composition.extension:change-made, Composition.modifierExtension, Composition.identifier, Composition.status, Composition.status.extension, Composition.status.extension:R5-Composition-status, Composition.type, Composition.category, Composition.category:clinicalnotecategory, Composition.subject, Composition.subject.extension, Composition.subject.reference, Composition.subject.type, Composition.subject.identifier, Composition.subject.display, Composition.encounter, Composition.date, Composition.author, Composition.author.extension, Composition.author.extension:time, Composition.author.reference, Composition.author.type, Composition.author.identifier, Composition.author.display, Composition.title, Composition.confidentiality, Composition.attester, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester.mode, Composition.attester.time, Composition.attester.party, Composition.attester:legal_attester, Composition.attester:legal_attester.extension, Composition.attester:legal_attester.modifierExtension, Composition.attester:legal_attester.mode, Composition.attester:legal_attester.time, Composition.attester:legal_attester.party, Composition.attester:professional_attester, Composition.attester:professional_attester.extension, Composition.attester:professional_attester.modifierExtension, Composition.attester:professional_attester.mode, Composition.attester:professional_attester.time, Composition.attester:professional_attester.party, Composition.custodian, Composition.relatesTo, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.code, Composition.relatesTo.target[x], Composition.relatesTo.target[x]:targetIdentifier, Composition.relatesTo.target[x]:targetIdentifier.extension, Composition.relatesTo.target[x]:targetIdentifier.use, Composition.relatesTo.target[x]:targetIdentifier.type, Composition.relatesTo.target[x]:targetIdentifier.system, Composition.relatesTo.target[x]:targetIdentifier.value, Composition.relatesTo.target[x]:targetIdentifier.period, Composition.relatesTo.target[x]:targetIdentifier.assigner, Composition.relatesTo:replaced_document, Composition.relatesTo:replaced_document.extension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.code, Composition.relatesTo:replaced_document.target[x], Composition.relatesTo:replaced_document.target[x]:targetIdentifier, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.extension, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.period, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.assigner, Composition.relatesTo:appended_document, Composition.relatesTo:appended_document.extension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.code, Composition.relatesTo:appended_document.target[x], Composition.relatesTo:appended_document.target[x]:targetIdentifier, Composition.relatesTo:appended_document.target[x]:targetIdentifier.extension, Composition.relatesTo:appended_document.target[x]:targetIdentifier.use, Composition.relatesTo:appended_document.target[x]:targetIdentifier.type, Composition.relatesTo:appended_document.target[x]:targetIdentifier.system, Composition.relatesTo:appended_document.target[x]:targetIdentifier.value, Composition.relatesTo:appended_document.target[x]:targetIdentifier.period, Composition.relatesTo:appended_document.target[x]:targetIdentifier.assigner, Composition.relatesTo:transformed_document, Composition.relatesTo:transformed_document.extension, Composition.relatesTo:transformed_document.modifierExtension, Composition.relatesTo:transformed_document.code, Composition.relatesTo:transformed_document.target[x], Composition.relatesTo:transformed_document.target[x]:targetIdentifier, Composition.event, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event.code, Composition.event.period, Composition.event.detail, Composition.event:principalEvent, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.event:principalEvent.code, Composition.event:principalEvent.period, Composition.event:principalEvent.detail, Composition.section, Composition.section.extension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section.title, Composition.section.code, Composition.section.author, Composition.section.focus, Composition.section.text, Composition.section.mode, Composition.section.orderedBy, Composition.section.entry, Composition.section.emptyReason, Composition.section.section	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Composition.meta.extension, Composition.extension, Composition.extension:R5-Composition-version, Composition.extension:data-enterer, Composition.extension:data-enterer.extension, Composition.extension:data-enterer.extension:type, Composition.extension:data-enterer.extension:function, Composition.extension:data-enterer.extension:time, Composition.extension:data-enterer.extension:party, Composition.extension:informant, Composition.extension:informant.extension, Composition.extension:informant.extension:type, Composition.extension:informant.extension:function, Composition.extension:informant.extension:time, Composition.extension:informant.extension:party, Composition.extension:information-recipient, Composition.extension:information-recipient.extension, Composition.extension:information-recipient.extension:type, Composition.extension:information-recipient.extension:function, Composition.extension:information-recipient.extension:time, Composition.extension:information-recipient.extension:party, Composition.extension:participant, Composition.extension:participant.extension, Composition.extension:participant.extension:type, Composition.extension:participant.extension:function, Composition.extension:participant.extension:time, Composition.extension:participant.extension:party, Composition.extension:consent, Composition.extension:basedOn, Composition.extension:change-made, Composition.modifierExtension, Composition.status.extension, Composition.status.extension:R5-Composition-status, Composition.subject.extension, Composition.author.extension, Composition.author.extension:time, Composition.attester.extension, Composition.attester.modifierExtension, Composition.attester:legal_attester.extension, Composition.attester:legal_attester.modifierExtension, Composition.attester:professional_attester.extension, Composition.attester:professional_attester.modifierExtension, Composition.relatesTo.extension, Composition.relatesTo.modifierExtension, Composition.relatesTo.target[x]:targetIdentifier.extension, Composition.relatesTo:replaced_document.extension, Composition.relatesTo:replaced_document.modifierExtension, Composition.relatesTo:replaced_document.target[x]:targetIdentifier.extension, Composition.relatesTo:appended_document.extension, Composition.relatesTo:appended_document.modifierExtension, Composition.relatesTo:appended_document.target[x]:targetIdentifier.extension, Composition.relatesTo:transformed_document.extension, Composition.relatesTo:transformed_document.modifierExtension, Composition.event.extension, Composition.event.extension:performer, Composition.event.modifierExtension, Composition.event:principalEvent.extension, Composition.event:principalEvent.extension:performer, Composition.event:principalEvent.modifierExtension, Composition.section.extension, Composition.section.extension:change-made, Composition.section.extension:section-note, Composition.section.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 21 elements(11 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR RelatedPerson Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-related-person-document|0.1.0)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
• ServiceRequest (http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
• FR Device Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-device-auteur-document|0.1.0)
• FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
• FR Composition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-author-time-extension|0.1.0
• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-performer-event-extension|0.1.0
• http://hl7.org/fhir/StructureDefinition/note|5.3.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.meta.profile
• The element 1 is sliced based on the value of Composition.event