FR Composition Document - FR Document Core (FHIR) v0.1.0

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

4. Composition.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control 10..1

AllLanguages
AllLanguages

The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional Bindings

Purpose

Max Binding

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

6. Composition.text

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Short Text summary of the resource, for human interpretation

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control 0..1

Is Modifier false

Must Support true

Summary false

Alternate Names narrative, html, xhtml, display

8. Composition.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short ExtensionAdditional content defined by implementations

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control 10..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

10. Composition.extension:R5-Composition-version

Slice Name R5-Composition-version

Definition

R5: Composition.version (new:string)

Short Version du document

Comments

Element Composition.version has a context of Composition based on following the parent source element upwards and mapping to Composition. Element Composition.version has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

Control 1..1
This element is affected by the following invariants: ele-1

Type Extension(R5: An explicitly assigned identifer of a variation of the content in the Composition (new)) (Extension Type: string)

Is Modifier false

Summary false

Label clinical document version number

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
comp-1: La valeur de l'extension versionNumber doit être un entier. (value.matches('^[0-9]+$'))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

12. Composition.extension:data-enterer

Slice Name data-enterer

Definition

The Data Enterer Extension represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.

Short Data Enterer Extension

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Data Enterer Extension) (Complex Extension)

Is Modifier false

Label date enterer

14. Composition.extension:data-enterer.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short ExtensionAdditional content defined by implementations

Comments

Control 30..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

16. Composition.extension:data-enterer.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : opérateur de saisieAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

18. Composition.extension:data-enterer.extension:type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

20. Composition.extension:data-enterer.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

22. Composition.extension:data-enterer.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Type CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

24. Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept

Slice Name valueCodeableConcept

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Pattern Value { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ENT", "display" : "data entry person" }] }

26. Composition.extension:data-enterer.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.Additional content defined by implementations

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

28. Composition.extension:data-enterer.extension:function.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

30. Composition.extension:data-enterer.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

32. Composition.extension:data-enterer.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding Unless not suitable, these codes SHALL be taken from For codes, see ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

34. Composition.extension:data-enterer.extension:time

Slice Name time

Definition

An Extension

Short Date de la saisieAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

36. Composition.extension:data-enterer.extension:time.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

38. Composition.extension:data-enterer.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

40. Composition.extension:data-enterer.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Type Period, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

42. Composition.extension:data-enterer.extension:party

Slice Name party

Definition

An Extension

Short OpérateurAdditional content defined by implementations

Control 10..1*

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

44. Composition.extension:data-enterer.extension:party.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

46. Composition.extension:data-enterer.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

48. Composition.extension:data-enterer.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Type Reference(FR PractitionerRole Document), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

50. Composition.extension:data-enterer.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension

52. Composition.extension:data-enterer.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..01

Type Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

54. Composition.extension:informant

Slice Name informant

Definition

Informant Extension describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.

Short Informant Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Informant Extension) (Complex Extension)

Is Modifier false

Label informant

56. Composition.extension:informant.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 20..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

58. Composition.extension:informant.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : InformateurAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

60. Composition.extension:informant.extension:type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

62. Composition.extension:informant.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

64. Composition.extension:informant.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

66. Composition.extension:informant.extension:type.value[x]:valueCodeableConcept

Slice Name valueCodeableConcept

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Pattern Value { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "INF", "display" : "informant" }] }

68. Composition.extension:informant.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.Additional content defined by implementations

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

70. Composition.extension:informant.extension:function.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

72. Composition.extension:informant.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

74. Composition.extension:informant.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding Unless not suitable, these codes SHALL be taken from For codes, see ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

76. Composition.extension:informant.extension:time

Slice Name time

Definition

An Extension

Short Time period of participationAdditional content defined by implementations

Control 0..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

78. Composition.extension:informant.extension:time.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

80. Composition.extension:informant.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

82. Composition.extension:informant.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

84. Composition.extension:informant.extension:party

Slice Name party

Definition

An Extension

Short InformateurAdditional content defined by implementations

Control 10..1*

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

86. Composition.extension:informant.extension:party.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

88. Composition.extension:informant.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

90. Composition.extension:informant.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Type Reference(FR PractitionerRole Document, FR RelatedPerson Document, FR Patient INS Document, FR Patient Document), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

92. Composition.extension:informant.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension

94. Composition.extension:informant.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

96. Composition.extension:information-recipient

Slice Name information-recipient

Definition

The Information Recipient Extension records the intended recipient of the information at the time the document was created.

Short Information Recipient Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Information Recipient Extension) (Complex Extension)

Is Modifier false

Label information recipient of type primary, secondary information recipient or a generic information recipient

98. Composition.extension:information-recipient.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 20..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

100. Composition.extension:information-recipient.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : destinataireAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

102. Composition.extension:information-recipient.extension:type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

104. Composition.extension:information-recipient.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

106. Composition.extension:information-recipient.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding The codes SHALL be taken from For codes, see FRValueSetParticipationType (0.1.0)
(required to https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-doc-vs-participation-type|0.1.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

108. Composition.extension:information-recipient.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.Additional content defined by implementations

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

110. Composition.extension:information-recipient.extension:function.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

112. Composition.extension:information-recipient.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

114. Composition.extension:information-recipient.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding Unless not suitable, these codes SHALL be taken from For codes, see ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

116. Composition.extension:information-recipient.extension:time

Slice Name time

Definition

An Extension

Short Time period of participationAdditional content defined by implementations

Control 0..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

118. Composition.extension:information-recipient.extension:time.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

120. Composition.extension:information-recipient.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

122. Composition.extension:information-recipient.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

124. Composition.extension:information-recipient.extension:party

Slice Name party

Definition

An Extension

Short DestinataireAdditional content defined by implementations

Control 10..1*

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

126. Composition.extension:information-recipient.extension:party.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

128. Composition.extension:information-recipient.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

130. Composition.extension:information-recipient.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

132. Composition.extension:information-recipient.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension

134. Composition.extension:information-recipient.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

136. Composition.extension:participant

Slice Name participant

Definition

Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).

Short Participant Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Participant Extension) (Complex Extension)

Is Modifier false

Must Support true

Label A Participant that is not a data-enter, information-recipient nor an informant

138. Composition.extension:participant.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 30..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

140. Composition.extension:participant.extension:type

Slice Name type

Definition

An Extension

Short Type de participationAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

142. Composition.extension:participant.extension:type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

144. Composition.extension:participant.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

146. Composition.extension:participant.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding The codes SHALL be taken from For codes, see JDV_J144_ParticipationType_CISIS (20210326120000)
(required to https://mos.esante.gouv.fr/NOS/JDV_J144-ParticipationType-CISIS/FHIR/JDV-J144-ParticipationType-CISIS|20210326120000)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

148. Composition.extension:participant.extension:function

Slice Name function

Definition

An Extension

Short Précision sur le rôle fonctionnelAdditional content defined by implementations

Control 0..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

150. Composition.extension:participant.extension:function.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

152. Composition.extension:participant.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

154. Composition.extension:participant.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

Binding The codes SHALL be taken from For codes, see JDV_J47_FunctionCode_CISIS (20250523120000)
(required to https://mos.esante.gouv.fr/NOS/JDV_J47-FunctionCode-CISIS/FHIR/JDV-J47-FunctionCode-CISIS|20250523120000)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

156. Composition.extension:participant.extension:time

Slice Name time

Definition

An Extension

Short Date de début et/ou de fin de la participationAdditional content defined by implementations

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

158. Composition.extension:participant.extension:time.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

160. Composition.extension:participant.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

162. Composition.extension:participant.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

164. Composition.extension:participant.extension:party

Slice Name party

Definition

An Extension

Short Identification du participantAdditional content defined by implementations

Control 10..1*

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
comp-3: 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'))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

166. Composition.extension:participant.extension:party.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

168. Composition.extension:participant.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

170. Composition.extension:participant.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

172. Composition.extension:participant.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension

174. Composition.extension:participant.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

176. Composition.extension:consent

Slice Name consent

Definition

Consent Extension refers to a FHIR Consent instance that indicates a patient's consent

Short consent

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Consent Extension) (Extension Type: Reference)

Is Modifier false

Summary false

Label consent

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

178. Composition.extension:basedOn

Slice Name basedOn

Definition

A plan, proposal or order that is fulfilled in whole or in part by this event.

Short Fulfills plan, proposal or order

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Based on) (Extension Type: Reference(Resource))

Is Modifier false

Summary false

Label basedOn, e.g. order fullfilled

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

180. Composition.extension:basedOn.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

182. Composition.extension:basedOn.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/StructureDefinition/event-basedOn

184. Composition.extension:basedOn.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Association du document à une prescriptionValue of extension

Control 10..1

Type Reference(ServiceRequest), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

186. Composition.extension:change-made

Slice Name change-made

Definition

Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.

Short 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.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Change Made) (Complex Extension)

Is Modifier false

Label 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.

188. Composition.modifierExtension

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

190. Composition.identifier

Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

Short Identifiant lot de versionsVersion-independent identifier for the Composition

Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Must Support true

Summary true

192. Composition.status

Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Short Statut du documentpreliminary | final | amended | entered-in-error

Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

Control 1..1

The codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

The workflow/clinical status of the composition.

Is Modifier true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

194. Composition.status.extension:R5-Composition-status

Slice Name R5-Composition-status

Definition

R5: Composition.status

Short This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required.

Comments

Element Composition.status is mapped to FHIR R4 element Composition.status as SourceIsBroaderThanTarget. The target context Composition.status is a modifier element, so this extension does not need to be defined as a modifier. If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Control 0..1
This element is affected by the following invariants: ele-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

196. Composition.type

Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Short Type de documentKind of composition (LOINC if possible)

Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Control 1..1

The codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1)

Type of a composition.

Is Modifier false

Must Support true

Summary true

Requirements

Key metadata element describing the composition, used in searching/filtering.

198. Composition.category

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Short Categorization of Composition

Comments

This is a metadata field from XDS/MHD.

Control 0..*

For example codes, see DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
(example to http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1)

High-level kind of a clinical document at a macro level.

Is Modifier false

Summary true

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

This element introduces a set of slices on Composition.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ $this

200. Composition.category:clinicalnotecategory

Slice Name clinicalnotecategory

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Short Category for Clinical NoteCategorization of Composition

Comments

This is a metadata field from XDS/MHD.

Control 0..1*

For example codes, see DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
(example to http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1)

High-level kind of a clinical document at a macro level.

Is Modifier false

Summary true

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "107903-7", "display" : "Clinical note" }] }

202. Composition.subject

Definition

Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

Short Patient / UsagerWho and/or what the composition is about

Comments

For clinical documents, this is usually the patient.

Control 10..1

Type Reference(FR Patient INS Document, FR Patient Document, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary true

Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

204. Composition.subject.reference

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Short Literal reference, Relative, internal or absolute URL

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

206. Composition.encounter

Definition

Describes the clinical encounter or type of care this documentation is associated with.

Short Context of the Composition

Control 10..1

Type Reference(FR Encounter Care Document, Encounter)

Is Modifier false

Must Support true

Summary true

Requirements

Provides context for the composition and supports searching.

208. Composition.date

Definition

The composition editing time, when the composition was last logically changed by the author.

Short Date de créationComposition editing time

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

210. Composition.author

Definition

author permet d’enregistrer un auteur du document. Un document peut avoir un ou plusieurs auteurs. Un professionnel de santé auteur d'un document est toujours dans une situation d'exercice donnée (FRPractitionerRoleDocument).

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

Short Auteur du documentWho and/or what authored the composition

Control 1..*

Type Reference(FR PractitionerRole Document, FR Patient INS Document, FR Patient Document, FR Device Document, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary true

Requirements

Identifies who is responsible for the content.

212. Composition.author.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 10..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

214. Composition.author.extension:time

Slice Name time

Definition

Extension permettant d'ajouter un horodatage (TS) à l'élément author d'une Composition.

Short Horodatage de la participation de l’auteur.

Control 1..1

Type Extension(FR Author Time Extension) (Extension Type: dateTime)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

216. Composition.title

Definition

Les volets de contenus du CI-SIS fixent parfois le titre du document. Dans les autres cas, le titre provient soit de la saisie directe par le professionnel ou le patient/usager, soit d’une valeur par défaut générée par le logiciel et modifiable par le professionnel ou le patient/usager.

Official human-readable label for the composition.

Short Titre du document CDAHuman Readable name/title

Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

218. Composition.confidentiality

Definition

The code specifying the level of confidentiality of the Composition.

Short Niveau de confidentialitéAs defined by affinity domain

Comments

The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

Control 10..1

The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
(required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

Codes specifying the level of confidentiality of the composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

220. Composition.attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Attests to accuracy of composition

Comments

Only list each attester once.

Control 10..*

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

This element introduces a set of slices on Composition.attester. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ mode

222. Composition.attester.modifierExtension

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

224. Composition.attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

226. Composition.attester:legal_attester

Slice Name legal_attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Responsable du documentAttests to accuracy of composition

Comments

Only list each attester once.

Control 10..1*

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

228. Composition.attester:legal_attester.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

230. Composition.attester:legal_attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

Pattern Value legal

232. Composition.attester:legal_attester.time

Definition

When the composition was attested by the party.

Short When the composition was attested

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

234. Composition.attester:legal_attester.party

Definition

Who attested the composition in the specified way.

Short Who attested the composition

Control 10..1

Type Reference(FR PractitionerRole Document, Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)

Is Modifier false

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

236. Composition.attester:professional_attester

Slice Name professional_attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Professionnel attestant la validité du contenu du documentAttests to accuracy of composition

Comments

Only list each attester once.

Control 0..*

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

238. Composition.attester:professional_attester.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

240. Composition.attester:professional_attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

Pattern Value professional

242. Composition.attester:professional_attester.time

Definition

When the composition was attested by the party.

Short When the composition was attested

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

244. Composition.attester:professional_attester.party

Definition

Who attested the composition in the specified way.

Short Who attested the composition

Control 10..1

Type Reference(FR PractitionerRole Document, Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)

Is Modifier false

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

246. Composition.custodian

Definition

Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

Short Structure chargée de la conservation du documentOrganization which maintains the composition

Comments

This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

Control 10..1

Type Reference(FR Organization Document, Organization)

Is Modifier false

Must Support true

Summary true

Requirements

Identifies where to go to find the current version, where to report issues, etc.

248. Composition.relatesTo

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short Document de référenceRelationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ code

type @ target

250. Composition.relatesTo.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

252. Composition.relatesTo.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

254. Composition.relatesTo.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Choice of: Identifier, Reference(FR Composition Document, Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

256. Composition.relatesTo.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR documentTarget of the relationship

Control 01..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

258. Composition.relatesTo.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

260. Composition.relatesTo.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control 10..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

262. Composition.relatesTo.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

264. Composition.relatesTo.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

266. Composition.relatesTo:replaced_document

Slice Name replaced_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short The document(s) being supercededRelationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..1*

Is Modifier false

Summary false

268. Composition.relatesTo:replaced_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

270. Composition.relatesTo:replaced_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value replaces

272. Composition.relatesTo:replaced_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

274. Composition.relatesTo:replaced_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR documentTarget of the relationship

Control 1..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

276. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

278. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

280. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

282. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

284. Composition.relatesTo:appended_document

Slice Name appended_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short The document(s) being appended tooRelationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..*

Is Modifier false

Summary false

286. Composition.relatesTo:appended_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

288. Composition.relatesTo:appended_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value appends

290. Composition.relatesTo:appended_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

292. Composition.relatesTo:appended_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

294. Composition.relatesTo:appended_document.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 10..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

296. Composition.relatesTo:appended_document.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

298. Composition.relatesTo:appended_document.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

300. Composition.relatesTo:appended_document.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

302. Composition.relatesTo:transformed_document

Slice Name transformed_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short Relationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..1*

Is Modifier false

Summary false

304. Composition.relatesTo:transformed_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

306. Composition.relatesTo:transformed_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value transforms

308. Composition.relatesTo:transformed_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Choice of: Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:

type @ $this

310. Composition.relatesTo:transformed_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR documentTarget of the relationship

Control 01..1

Type Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

312. Composition.event

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short The clinical service(s) being documented

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 10..*

Is Modifier false

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

This element introduces a set of slices on Composition.event. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ $this

314. Composition.event.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.event.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

316. Composition.event.extension:performer

Slice Name performer

Definition

Extension permettant d'ajouter l'exécutant de l'évènement documenté. Ajout d'un performer à l'élément event d'une Composition.

Short FR Performer Event Extension

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(FR Performer Event Extension) (Extension Type: Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

318. Composition.event.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

320. Composition.event.period

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Date et heure de l’évènement documentéThe period covered by the documentation

Control 0..1

Is Modifier false

Summary true

322. Composition.event.detail

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short The event(s) being documented

Control 0..1*

Type Reference(Resource)

Is Modifier false

Summary true

324. Composition.event:principalEvent

Slice Name principalEvent

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short Evènement documenté principalThe clinical service(s) being documented

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 10..1*

Is Modifier false

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

326. Composition.event:principalEvent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 10..*

Is Modifier false

Summary false

Alternate Names extensions, user content

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on Composition.event.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

328. Composition.event:principalEvent.extension:performer

Slice Name performer

Definition

Extension permettant d'ajouter l'exécutant de l'évènement documenté. Ajout d'un performer à l'élément event d'une Composition.

Short Exécutant de l'évènement documenté principal

Control 1..1
This element is affected by the following invariants: ele-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

330. Composition.event:principalEvent.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

332. Composition.event:principalEvent.period

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Date et heure de l’évènement documentéThe period covered by the documentation

Control 10..1

Is Modifier false

Summary true

334. Composition.event:principalEvent.detail

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short The event(s) being documented

Control 0..1*

Type Reference(Resource)

Is Modifier false

Summary true

336. Composition.section

Definition

The root of the sections that make up the composition.

Short Composition is broken into sections

Control 10..*

Is Modifier false

Must Support true

Summary false

Invariants cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
comp-4: Une section ne peut pas contenir à la fois des entrées et des sous-sections. (not(exists(f:entry) and exists(f:section)))
cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. Composition.section.extension:change-made

Slice Name change-made

Definition

Short Change Made

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Change Made) (Complex Extension)

Is Modifier false

340. Composition.section.extension:section-note

Slice Name section-note

Definition

Permet de porter des commentaires dans chaque section.

Short Commentaires supplémentaires pour chaque section.

Comments

This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

Control 0..*

Type Extension(Note) (Extension Type: Annotation)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

342. Composition.section.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

344. Composition.section.title

Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Label for section (e.g. for ToC)

Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

346. Composition.section.code

Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Control 10..1

Binding The codes SHALL be taken from For example codes, see JdvSectionDocumentCisis (20260619134042)http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
(required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-section-document-cisis|20260619134042)

Is Modifier false

Must Support true

Summary false

Requirements

Provides computable standardized labels to topics within the document.

348. Composition.section.text

Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Short Text summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 10..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Must Support true

Summary false

Guidance on how to interpret the contents of this table can be foundhere

0. Composition
2. Composition.meta
4. Composition.meta.profile
Slicing	This element introduces a set of slices on `Composition.meta.profile`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
6. Composition.meta.profile:canonical
Slice Name	canonical
Control	0..1
Pattern Value	`https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document\|0.1.0`
8. Composition.language
Control	1..?
Must Support	true
10. Composition.extension
Control	1..?
12. Composition.extension:R5-Composition-version
Slice Name	R5-Composition-version
Short	Version du document
Control	1..?
Invariants	comp-1: La valeur de l'extension versionNumber doit être un entier. (`value.matches('^[0-9]+$')`)
14. Composition.extension:data-enterer
Slice Name	data-enterer
16. Composition.extension:data-enterer.extension
Control	3..?
18. Composition.extension:data-enterer.extension:type
Slice Name	type
Short	Type de participation : opérateur de saisie
Control	0..1
20. Composition.extension:data-enterer.extension:time
Slice Name	time
Short	Date de la saisie
Control	1..?
22. Composition.extension:data-enterer.extension:party
Slice Name	party
Short	Opérateur
24. Composition.extension:data-enterer.extension:party.value[x]
Type	Reference(FR PractitionerRole Document)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
26. Composition.extension:informant
Slice Name	informant
28. Composition.extension:informant.extension:type
Slice Name	type
Short	Type de participation : Informateur
Control	0..1
30. Composition.extension:informant.extension:party
Slice Name	party
Short	Informateur
32. Composition.extension:informant.extension:party.value[x]
Type	Reference(FR PractitionerRole Document, FR RelatedPerson Document, FR Patient INS Document, FR Patient Document)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
34. Composition.extension:information-recipient
Slice Name	information-recipient
36. Composition.extension:information-recipient.extension:type
Slice Name	type
Short	Type de participation : destinataire
Control	0..1
38. Composition.extension:information-recipient.extension:type.value[x]
Binding	The codes SHALL be taken from FRValueSetParticipationType (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-doc-vs-participation-type\|0.1.0`)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
40. Composition.extension:information-recipient.extension:party
Slice Name	party
Short	Destinataire
42. Composition.extension:information-recipient.extension:party.value[x]
Type	Reference(FR PractitionerRole Document)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
44. Composition.extension:participant
Slice Name	participant
46. Composition.extension:participant.extension
Control	3..?
48. Composition.extension:participant.extension:type
Slice Name	type
Short	Type de participation
Control	0..1
50. Composition.extension:participant.extension:type.value[x]
Binding	The codes SHALL be taken from JDV_J144_ParticipationType_CISIS (20210326120000) (required to `https://mos.esante.gouv.fr/NOS/JDV_J144-ParticipationType-CISIS/FHIR/JDV-J144-ParticipationType-CISIS\|20210326120000`)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
52. Composition.extension:participant.extension:function
Slice Name	function
Short	Précision sur le rôle fonctionnel
Control	0..1
54. Composition.extension:participant.extension:function.value[x]
Binding	The codes SHALL be taken from JDV_J47_FunctionCode_CISIS (20250523120000) (required to `https://mos.esante.gouv.fr/NOS/JDV_J47-FunctionCode-CISIS/FHIR/JDV-J47-FunctionCode-CISIS\|20250523120000`)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
56. Composition.extension:participant.extension:time
Slice Name	time
Short	Date de début et/ou de fin de la participation
Control	1..?
58. Composition.extension:participant.extension:party
Slice Name	party
Short	Identification du participant
Invariants	comp-3: 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')`)
60. Composition.extension:participant.extension:party.value[x]
Type	Reference(FR PractitionerRole Document)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
62. Composition.extension:basedOn
Slice Name	basedOn
64. Composition.extension:basedOn.value[x]
Short	Association du document à une prescription
Type	Reference(ServiceRequest)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
66. Composition.identifier
Short	Identifiant lot de versions
Note	This is a business identifier, not a resource identifier (see discussion)
Control	1..?
Must Support	true
68. Composition.status
Short	Statut du document
70. Composition.type
Short	Type de document
72. Composition.subject
Short	Patient / Usager
Type	Reference(FR Patient INS Document, FR Patient Document)
74. Composition.subject.reference
Control	1..?
Must Support	true
76. Composition.encounter
Control	1..?
Type	Reference(FR Encounter Care Document)
Must Support	true
78. Composition.date
Short	Date de création
80. Composition.author
Definition	author permet d’enregistrer un auteur du document. Un document peut avoir un ou plusieurs auteurs. Un professionnel de santé auteur d'un document est toujours dans une situation d'exercice donnée (FRPractitionerRoleDocument).
Short	Auteur du document
Type	Reference(FR PractitionerRole Document, FR Patient INS Document, FR Patient Document, FR Device Document)
82. Composition.author.extension
Control	1..?
84. Composition.author.extension:time
Slice Name	time
Control	1..1
Type	Extension(FR Author Time Extension) (Extension Type: dateTime)
86. Composition.title
Definition	Les volets de contenus du CI-SIS fixent parfois le titre du document. Dans les autres cas, le titre provient soit de la saisie directe par le professionnel ou le patient/usager, soit d’une valeur par défaut générée par le logiciel et modifiable par le professionnel ou le patient/usager.
Short	Titre du document CDA
88. Composition.confidentiality
Short	Niveau de confidentialité
Control	1..?
Must Support	true
90. Composition.attester
Control	1..?
92. Composition.attester:legal_attester
Slice Name	legal_attester
Short	Responsable du document
Control	1..?
94. Composition.attester:legal_attester.time
Control	1..?
96. Composition.attester:legal_attester.party
Control	1..?
Type	Reference(FR PractitionerRole Document)
98. Composition.attester:professional_attester
Slice Name	professional_attester
Short	Professionnel attestant la validité du contenu du document
100. Composition.attester:professional_attester.time
Control	1..?
102. Composition.attester:professional_attester.party
Control	1..?
Type	Reference(FR PractitionerRole Document)
104. Composition.custodian
Short	Structure chargée de la conservation du document
Control	1..?
Type	Reference(FR Organization Document)
106. Composition.relatesTo
Short	Document de référence
108. Composition.relatesTo.target[x]
Type	Choice of: Identifier, Reference(FR Composition Document)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
110. Composition.relatesTo.target[x]:targetIdentifier
Slice Name	targetIdentifier
Type	Identifier
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
112. Composition.relatesTo.target[x]:targetIdentifier.type
Control	1..?
114. Composition.relatesTo.target[x]:targetIdentifier.system
Control	1..?
116. Composition.relatesTo.target[x]:targetIdentifier.value
Control	1..?
118. Composition.relatesTo:replaced_document
Slice Name	replaced_document
Control	0..1
120. Composition.relatesTo:replaced_document.target[x]:targetIdentifier
Slice Name	targetIdentifier
Type	Identifier
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
122. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type
Control	1..?
124. Composition.relatesTo:appended_document
Slice Name	appended_document
126. Composition.relatesTo:appended_document.target[x]:targetIdentifier
Slice Name	targetIdentifier
Type	Identifier
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
128. Composition.relatesTo:appended_document.target[x]:targetIdentifier.type
Control	1..?
130. Composition.relatesTo:appended_document.target[x]:targetIdentifier.system
Control	1..?
132. Composition.relatesTo:appended_document.target[x]:targetIdentifier.value
Control	1..?
134. Composition.relatesTo:transformed_document
Slice Name	transformed_document
Control	0..1
136. Composition.relatesTo:transformed_document.code
Pattern Value	`transforms`
138. Composition.event
Control	1..?
Slicing	This element introduces a set of slices on `Composition.event`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
140. Composition.event.extension
Slicing	This element introduces a set of slices on `Composition.event.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
142. Composition.event.extension:performer
Slice Name	performer
Control	0..1
Type	Extension(FR Performer Event Extension) (Extension Type: Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta)
144. Composition.event.period
Short	Date et heure de l’évènement documenté
146. Composition.event.detail
Control	0..1
148. Composition.event:principalEvent
Slice Name	principalEvent
Short	Evènement documenté principal
Control	1..1
150. Composition.event:principalEvent.extension
Control	1..?
152. Composition.event:principalEvent.extension:performer
Slice Name	performer
Short	Exécutant de l'évènement documenté principal
Control	1..1
Type	Extension(FR Performer Event Extension) (Extension Type: Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta)
154. Composition.event:principalEvent.period
Control	1..?
156. Composition.section
Invariants	comp-4: Une section ne peut pas contenir à la fois des entrées et des sous-sections. (`not(exists(f:entry) and exists(f:section))`)
158. Composition.section.extension:section-note
Slice Name	section-note
Definition	Permet de porter des commentaires dans chaque section.
Short	Commentaires supplémentaires pour chaque section.
Control	0..*
Type	Extension(Note) (Extension Type: Annotation)
160. Composition.section.code
Control	1..?
Binding	The codes SHALL be taken from JdvSectionDocumentCisis (20260619134042) (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-section-document-cisis\|20260619134042`)
162. Composition.section.text
Control	1..?

Guidance on how to interpret the contents of this table can be foundhere

0. Composition

Definition

Short A set of resources composed into a single coherent clinical statement with clinical attestation

Comments

Control 0..*

Is Modifier false

Summary false

2. Composition.id

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short Logical id of this artifact

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control 0..1

Is Modifier false

Summary true

4. Composition.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadata about the resource

Control 0..1

Meta

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. Composition.meta.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

8. Composition.meta.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

10. Composition.meta.versionId

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Short Version specific identifier

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. Composition.meta.lastUpdated

Definition

When the resource last changed - e.g. when the version changed.

Short When the resource version last changed

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Control 0..1

instant

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

14. Composition.meta.source

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Short Identifies where the resource comes from

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

16. Composition.meta.profile

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Short Profiles this resource claims to conform to

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control 0..*

Type canonical(StructureDefinition)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ $this

18. Composition.meta.profile:canonical

Slice Name canonical

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Short Profiles this resource claims to conform to

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control 0..1

Type canonical(StructureDefinition)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Pattern Value https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-composition-document|0.1.0

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

20. Composition.meta.security

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Short Security Labels applied to this resource

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Control 0..*

Unless not suitable, these codes SHALL be taken from All Security Labels
(extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

Security Labels from the Healthcare Privacy and Security Classification System.

Coding

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

22. Composition.meta.tag

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Short Tags applied to this resource

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Control 0..*

For example codes, see CommonTags
(example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Coding

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

24. Composition.implicitRules

Definition

Short A set of rules under which this content was created

Comments

Control 0..1

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

26. Composition.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Control 1..1

The codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

28. Composition.text

Definition

Short Text summary of the resource, for human interpretation

Comments

Control 0..1

Is Modifier false

Must Support true

Summary false

Alternate Names narrative, html, xhtml, display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

30. Composition.contained

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short Contained, inline Resources

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

32. Composition.extension

Definition

An Extension

Short Extension

Control 1..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

34. Composition.extension:R5-Composition-version

Slice Name R5-Composition-version

Definition

R5: Composition.version (new:string)

Short Version du document

Comments

Control 1..1
This element is affected by the following invariants: ele-1

Type Extension(R5: An explicitly assigned identifer of a variation of the content in the Composition (new)) (Extension Type: string)

Is Modifier false

Summary false

Label clinical document version number

36. Composition.extension:data-enterer

Slice Name data-enterer

Definition

Short Data Enterer Extension

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Data Enterer Extension) (Complex Extension)

Is Modifier false

Label date enterer

38. Composition.extension:data-enterer.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

40. Composition.extension:data-enterer.extension

Definition

An Extension

Short Extension

Control 3..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

42. Composition.extension:data-enterer.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : opérateur de saisie

Control 1..1

Is Modifier false

Summary false

44. Composition.extension:data-enterer.extension:type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

46. Composition.extension:data-enterer.extension:type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

48. Composition.extension:data-enterer.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

50. Composition.extension:data-enterer.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

52. Composition.extension:data-enterer.extension:type.value[x]:valueCodeableConcept

Slice Name valueCodeableConcept

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Pattern Value { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ENT", "display" : "data entry person" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. Composition.extension:data-enterer.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.

Control 0..*

Is Modifier false

Summary false

56. Composition.extension:data-enterer.extension:function.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

58. Composition.extension:data-enterer.extension:function.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

60. Composition.extension:data-enterer.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

62. Composition.extension:data-enterer.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding Unless not suitable, these codes SHALL be taken from ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

64. Composition.extension:data-enterer.extension:time

Slice Name time

Definition

An Extension

Short Date de la saisie

Control 1..1

Is Modifier false

Summary false

66. Composition.extension:data-enterer.extension:time.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

68. Composition.extension:data-enterer.extension:time.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

70. Composition.extension:data-enterer.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

72. Composition.extension:data-enterer.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. Composition.extension:data-enterer.extension:party

Slice Name party

Definition

An Extension

Short Opérateur

Control 1..1

Is Modifier false

Must Support true

Summary false

76. Composition.extension:data-enterer.extension:party.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

78. Composition.extension:data-enterer.extension:party.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

80. Composition.extension:data-enterer.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

82. Composition.extension:data-enterer.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Type Reference(FR PractitionerRole Document)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. Composition.extension:data-enterer.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension

86. Composition.extension:data-enterer.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

88. Composition.extension:informant

Slice Name informant

Definition

Short Informant Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Informant Extension) (Complex Extension)

Is Modifier false

Label informant

90. Composition.extension:informant.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

92. Composition.extension:informant.extension

Definition

An Extension

Short Extension

Control 2..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

94. Composition.extension:informant.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : Informateur

Control 1..1

Is Modifier false

Summary false

96. Composition.extension:informant.extension:type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

98. Composition.extension:informant.extension:type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

100. Composition.extension:informant.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

102. Composition.extension:informant.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

104. Composition.extension:informant.extension:type.value[x]:valueCodeableConcept

Slice Name valueCodeableConcept

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Pattern Value { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "INF", "display" : "informant" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

106. Composition.extension:informant.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.

Control 0..*

Is Modifier false

Summary false

108. Composition.extension:informant.extension:function.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

110. Composition.extension:informant.extension:function.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

112. Composition.extension:informant.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

114. Composition.extension:informant.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding Unless not suitable, these codes SHALL be taken from ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

116. Composition.extension:informant.extension:time

Slice Name time

Definition

An Extension

Short Time period of participation

Control 0..1

Is Modifier false

Summary false

118. Composition.extension:informant.extension:time.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

120. Composition.extension:informant.extension:time.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

122. Composition.extension:informant.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

124. Composition.extension:informant.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

126. Composition.extension:informant.extension:party

Slice Name party

Definition

An Extension

Short Informateur

Control 1..1

Is Modifier false

Must Support true

Summary false

128. Composition.extension:informant.extension:party.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

130. Composition.extension:informant.extension:party.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

132. Composition.extension:informant.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

134. Composition.extension:informant.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Type Reference(FR PractitionerRole Document, FR RelatedPerson Document, FR Patient INS Document, FR Patient Document)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

136. Composition.extension:informant.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension

138. Composition.extension:informant.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

140. Composition.extension:information-recipient

Slice Name information-recipient

Definition

The Information Recipient Extension records the intended recipient of the information at the time the document was created.

Short Information Recipient Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Information Recipient Extension) (Complex Extension)

Is Modifier false

Label information recipient of type primary, secondary information recipient or a generic information recipient

142. Composition.extension:information-recipient.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

144. Composition.extension:information-recipient.extension

Definition

An Extension

Short Extension

Control 2..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

146. Composition.extension:information-recipient.extension:type

Slice Name type

Definition

An Extension

Short Type de participation : destinataire

Control 1..1

Is Modifier false

Summary false

148. Composition.extension:information-recipient.extension:type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

150. Composition.extension:information-recipient.extension:type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

152. Composition.extension:information-recipient.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

154. Composition.extension:information-recipient.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding The codes SHALL be taken from FRValueSetParticipationType (0.1.0)
(required to https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-doc-vs-participation-type|0.1.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

156. Composition.extension:information-recipient.extension:function

Slice Name function

Definition

An Extension

Short Exact function of the participant in the creation of the clinical document. This is more granular than type.

Control 0..*

Is Modifier false

Summary false

158. Composition.extension:information-recipient.extension:function.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

160. Composition.extension:information-recipient.extension:function.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

162. Composition.extension:information-recipient.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

164. Composition.extension:information-recipient.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding Unless not suitable, these codes SHALL be taken from ParticipationFunction (3.0.0)
(extensible to http://terminology.hl7.org/ValueSet/v3-ParticipationFunction|3.0.0)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

166. Composition.extension:information-recipient.extension:time

Slice Name time

Definition

An Extension

Short Time period of participation

Control 0..1

Is Modifier false

Summary false

168. Composition.extension:information-recipient.extension:time.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

170. Composition.extension:information-recipient.extension:time.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

172. Composition.extension:information-recipient.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

174. Composition.extension:information-recipient.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

176. Composition.extension:information-recipient.extension:party

Slice Name party

Definition

An Extension

Short Destinataire

Control 1..1

Is Modifier false

Must Support true

Summary false

178. Composition.extension:information-recipient.extension:party.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

180. Composition.extension:information-recipient.extension:party.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

182. Composition.extension:information-recipient.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

184. Composition.extension:information-recipient.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Type Reference(FR PractitionerRole Document)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

186. Composition.extension:information-recipient.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension

188. Composition.extension:information-recipient.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

190. Composition.extension:participant

Slice Name participant

Definition

Short Participant Extension

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Participant Extension) (Complex Extension)

Is Modifier false

Must Support true

Label A Participant that is not a data-enter, information-recipient nor an informant

192. Composition.extension:participant.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

194. Composition.extension:participant.extension

Definition

An Extension

Short Extension

Control 3..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

196. Composition.extension:participant.extension:type

Slice Name type

Definition

An Extension

Short Type de participation

Control 1..1

Is Modifier false

Summary false

198. Composition.extension:participant.extension:type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

200. Composition.extension:participant.extension:type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

202. Composition.extension:participant.extension:type.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value type

204. Composition.extension:participant.extension:type.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding The codes SHALL be taken from JDV_J144_ParticipationType_CISIS (20210326120000)
(required to https://mos.esante.gouv.fr/NOS/JDV_J144-ParticipationType-CISIS/FHIR/JDV-J144-ParticipationType-CISIS|20210326120000)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. Composition.extension:participant.extension:function

Slice Name function

Definition

An Extension

Short Précision sur le rôle fonctionnel

Control 0..1

Is Modifier false

Summary false

208. Composition.extension:participant.extension:function.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

210. Composition.extension:participant.extension:function.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

212. Composition.extension:participant.extension:function.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value function

214. Composition.extension:participant.extension:function.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Binding The codes SHALL be taken from JDV_J47_FunctionCode_CISIS (20250523120000)
(required to https://mos.esante.gouv.fr/NOS/JDV_J47-FunctionCode-CISIS/FHIR/JDV-J47-FunctionCode-CISIS|20250523120000)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. Composition.extension:participant.extension:time

Slice Name time

Definition

An Extension

Short Date de début et/ou de fin de la participation

Control 1..1

Is Modifier false

Summary false

218. Composition.extension:participant.extension:time.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

220. Composition.extension:participant.extension:time.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

222. Composition.extension:participant.extension:time.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value time

224. Composition.extension:participant.extension:time.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

226. Composition.extension:participant.extension:party

Slice Name party

Definition

An Extension

Short Identification du participant

Control 1..1

Is Modifier false

Must Support true

Summary false

228. Composition.extension:participant.extension:party.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

230. Composition.extension:participant.extension:party.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

232. Composition.extension:participant.extension:party.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value party

234. Composition.extension:participant.extension:party.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 1..1

Type Reference(FR PractitionerRole Document)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

236. Composition.extension:participant.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension

238. Composition.extension:participant.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Value of extension

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

240. Composition.extension:consent

Slice Name consent

Definition

Consent Extension refers to a FHIR Consent instance that indicates a patient's consent

Short consent

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Consent Extension) (Extension Type: Reference)

Is Modifier false

Summary false

Label consent

242. Composition.extension:basedOn

Slice Name basedOn

Definition

A plan, proposal or order that is fulfilled in whole or in part by this event.

Short Fulfills plan, proposal or order

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Based on) (Extension Type: Reference(Resource))

Is Modifier false

Summary false

Label basedOn, e.g. order fullfilled

244. Composition.extension:basedOn.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

246. Composition.extension:basedOn.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on Composition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

248. Composition.extension:basedOn.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value http://hl7.org/fhir/StructureDefinition/event-basedOn

250. Composition.extension:basedOn.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Association du document à une prescription

Control 1..1

Type Reference(ServiceRequest)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

252. Composition.extension:change-made

Slice Name change-made

Definition

Short 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.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Change Made) (Complex Extension)

Is Modifier false

Label 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.

254. Composition.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Alternate Names extensions, user content

256. Composition.identifier

Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

Short Identifiant lot de versions

Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

Note This is a business identifier, not a resource identifier (see discussion)

Control 1..1

Is Modifier false

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

258. Composition.status

Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Short Statut du document

Comments

Control 1..1

The codes SHALL be taken from CompositionStatus
(required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

The workflow/clinical status of the composition.

Is Modifier true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

260. Composition.status.id

Definition

unique id for the element within a resource (for internal references)

Short xml:id (or equivalent in JSON)

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

262. Composition.status.extension

Definition

An Extension

Short Extension

Control 0..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.status.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

264. Composition.status.extension:R5-Composition-status

Slice Name R5-Composition-status

Definition

R5: Composition.status

Short This allows for additional status values found in R5. However, exercise caution as the R4 Composition.status is required.

Comments

Control 0..1
This element is affected by the following invariants: ele-1

Is Modifier false

Summary false

266. Composition.status.value

Definition

Primitive value for code

Short Primitive value for code

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

268. Composition.type

Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Short Type de document

Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Control 1..1

The codes SHOULD be taken from FHIRDocumentTypeCodes
(preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1)

Type of a composition.

Is Modifier false

Must Support true

Summary true

Requirements

Key metadata element describing the composition, used in searching/filtering.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

270. Composition.category

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Short Categorization of Composition

Comments

This is a metadata field from XDS/MHD.

Control 0..*

For example codes, see DocumentClassValueSet
(example to http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1)

High-level kind of a clinical document at a macro level.

Is Modifier false

Summary true

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ $this

272. Composition.category:clinicalnotecategory

Slice Name clinicalnotecategory

Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Short Category for Clinical Note

Comments

This is a metadata field from XDS/MHD.

Control 0..1

For example codes, see DocumentClassValueSet
(example to http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1)

High-level kind of a clinical document at a macro level.

Is Modifier false

Summary true

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "107903-7", "display" : "Clinical note" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

274. Composition.subject

Definition

Short Patient / Usager

Comments

For clinical documents, this is usually the patient.

Control 1..1

Type Reference(FR Patient INS Document, FR Patient Document)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary true

Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

276. Composition.subject.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

278. Composition.subject.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

280. Composition.subject.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 1..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

282. Composition.subject.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Short Type the reference refers to (e.g. "Patient")

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

284. Composition.subject.identifier

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Short Logical reference, when literal reference is not known

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

286. Composition.subject.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

288. Composition.encounter

Definition

Describes the clinical encounter or type of care this documentation is associated with.

Short Context of the Composition

Control 1..1

Type Reference(FR Encounter Care Document)

Is Modifier false

Must Support true

Summary true

Requirements

Provides context for the composition and supports searching.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

290. Composition.date

Definition

The composition editing time, when the composition was last logically changed by the author.

Short Date de création

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

292. Composition.author

Definition

Short Auteur du document

Control 1..*

Type Reference(FR PractitionerRole Document, FR Patient INS Document, FR Patient Document, FR Device Document)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary true

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

294. Composition.author.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

296. Composition.author.extension

Definition

An Extension

Short Extension

Control 1..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

298. Composition.author.extension:time

Slice Name time

Definition

Extension permettant d'ajouter un horodatage (TS) à l'élément author d'une Composition.

Short Horodatage de la participation de l’auteur.

Control 1..1

Type Extension(FR Author Time Extension) (Extension Type: dateTime)

Is Modifier false

Summary false

300. Composition.author.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

302. Composition.author.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

304. Composition.author.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

306. Composition.author.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

308. Composition.title

Definition

Short Titre du document CDA

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

310. Composition.confidentiality

Definition

The code specifying the level of confidentiality of the Composition.

Short Niveau de confidentialité

Comments

Control 1..1

The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)
(required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

Codes specifying the level of confidentiality of the composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

312. Composition.attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Attests to accuracy of composition

Comments

Only list each attester once.

Control 1..*

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.attester. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ mode

314. Composition.attester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

316. Composition.attester.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

318. Composition.attester.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

320. Composition.attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationMode
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. Composition.attester.time

Definition

When the composition was attested by the party.

Short When the composition was attested

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

324. Composition.attester.party

Definition

Who attested the composition in the specified way.

Short Who attested the composition

Control 0..1

Type Reference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)

Is Modifier false

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

326. Composition.attester:legal_attester

Slice Name legal_attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Responsable du document

Comments

Only list each attester once.

Control 1..1

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

328. Composition.attester:legal_attester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

330. Composition.attester:legal_attester.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

332. Composition.attester:legal_attester.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

334. Composition.attester:legal_attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationMode
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

Pattern Value legal

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

336. Composition.attester:legal_attester.time

Definition

When the composition was attested by the party.

Short When the composition was attested

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. Composition.attester:legal_attester.party

Definition

Who attested the composition in the specified way.

Short Who attested the composition

Control 1..1

Type Reference(FR PractitionerRole Document)

Is Modifier false

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. Composition.attester:professional_attester

Slice Name professional_attester

Definition

A participant who has attested to the accuracy of the composition/document.

Short Professionnel attestant la validité du contenu du document

Comments

Only list each attester once.

Control 0..*

Is Modifier false

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

342. Composition.attester:professional_attester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

344. Composition.attester:professional_attester.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

346. Composition.attester:professional_attester.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

348. Composition.attester:professional_attester.mode

Definition

The type of attestation the authenticator offers.

Short personal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationMode
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Indicates the level of authority of the attestation.

Pattern Value professional

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

350. Composition.attester:professional_attester.time

Definition

When the composition was attested by the party.

Short When the composition was attested

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

352. Composition.attester:professional_attester.party

Definition

Who attested the composition in the specified way.

Short Who attested the composition

Control 1..1

Type Reference(FR PractitionerRole Document)

Is Modifier false

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

354. Composition.custodian

Definition

Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

Short Structure chargée de la conservation du document

Comments

Control 1..1

Type Reference(FR Organization Document)

Is Modifier false

Must Support true

Summary true

Requirements

Identifies where to go to find the current version, where to report issues, etc.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

356. Composition.relatesTo

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short Document de référence

Comments

A document is a version specific composition.

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ code

type @ target

358. Composition.relatesTo.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

360. Composition.relatesTo.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

362. Composition.relatesTo.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

364. Composition.relatesTo.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipType
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

366. Composition.relatesTo.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Choice of: Identifier, Reference(FR Composition Document)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

368. Composition.relatesTo.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document

Control 0..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

370. Composition.relatesTo.target[x]:targetIdentifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

372. Composition.relatesTo.target[x]:targetIdentifier.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.relatesTo.target[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

374. Composition.relatesTo.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

376. Composition.relatesTo.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 1..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

378. Composition.relatesTo.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

380. Composition.relatesTo.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

382. Composition.relatesTo.target[x]:targetIdentifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

384. Composition.relatesTo.target[x]:targetIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

386. Composition.relatesTo:replaced_document

Slice Name replaced_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short The document(s) being superceded

Comments

A document is a version specific composition.

Control 0..1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

388. Composition.relatesTo:replaced_document.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

390. Composition.relatesTo:replaced_document.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

392. Composition.relatesTo:replaced_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

394. Composition.relatesTo:replaced_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipType
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value replaces

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

396. Composition.relatesTo:replaced_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

398. Composition.relatesTo:replaced_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being replaced, or to some other identifier of a non FHIR document

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

400. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

402. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.relatesTo.target[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

404. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

406. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 1..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

408. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

410. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

412. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

414. Composition.relatesTo:replaced_document.target[x]:targetIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

416. Composition.relatesTo:appended_document

Slice Name appended_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short The document(s) being appended too

Comments

A document is a version specific composition.

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

418. Composition.relatesTo:appended_document.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

420. Composition.relatesTo:appended_document.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

422. Composition.relatesTo:appended_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

424. Composition.relatesTo:appended_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipType
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value appends

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

426. Composition.relatesTo:appended_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

428. Composition.relatesTo:appended_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. Composition.relatesTo:appended_document.target[x]:targetIdentifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

432. Composition.relatesTo:appended_document.target[x]:targetIdentifier.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.relatesTo.target[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

434. Composition.relatesTo:appended_document.target[x]:targetIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 1..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

436. Composition.relatesTo:appended_document.target[x]:targetIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 1..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

438. Composition.relatesTo:appended_document.target[x]:targetIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

440. Composition.relatesTo:appended_document.target[x]:targetIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

442. Composition.relatesTo:appended_document.target[x]:targetIdentifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

444. Composition.relatesTo:appended_document.target[x]:targetIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

446. Composition.relatesTo:transformed_document

Slice Name transformed_document

Definition

Relationships that this composition has with other compositions or documents that already exist.

Short Relationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

448. Composition.relatesTo:transformed_document.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

450. Composition.relatesTo:transformed_document.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

452. Composition.relatesTo:transformed_document.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

454. Composition.relatesTo:transformed_document.code

Definition

The type of relationship that this composition has with anther composition or document.

Short replaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipType
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value transforms

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

456. Composition.relatesTo:transformed_document.target[x]

Definition

The target composition/document of this relationship.

Short Target of the relationship

Control 1..1

Type Choice of: Identifier, Reference(Composition)

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:

type @ $this

458. Composition.relatesTo:transformed_document.target[x]:targetIdentifier

Slice Name targetIdentifier

Definition

The target composition/document of this relationship.

Short Reference to the Bundle.identifier of the FHIR Clinical Document being appended, or to some other identifier of a non FHIR document

Control 0..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

460. Composition.event

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short The clinical service(s) being documented

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 1..*

Is Modifier false

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.event. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ $this

462. Composition.event.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

464. Composition.event.extension

Definition

An Extension

Short Extension

Control 0..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.event.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

466. Composition.event.extension:performer

Slice Name performer

Definition

Extension permettant d'ajouter l'exécutant de l'évènement documenté. Ajout d'un performer à l'élément event d'une Composition.

Short FR Performer Event Extension

Control 0..1
This element is affected by the following invariants: ele-1

Is Modifier false

Summary false

468. Composition.event.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

470. Composition.event.code

Definition

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Short Code(s) that apply to the event being documented

Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

Control 0..*

For example codes, see ActCode (3.0.0)
(example to http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0)

This list of codes represents the main clinical acts being documented.

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

472. Composition.event.period

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Date et heure de l’évènement documenté

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

474. Composition.event.detail

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short The event(s) being documented

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

476. Composition.event:principalEvent

Slice Name principalEvent

Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short Evènement documenté principal

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 1..1

Is Modifier false

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

478. Composition.event:principalEvent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

480. Composition.event:principalEvent.extension

Definition

An Extension

Short Extension

Control 1..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.event.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

482. Composition.event:principalEvent.extension:performer

Slice Name performer

Definition

Extension permettant d'ajouter l'exécutant de l'évènement documenté. Ajout d'un performer à l'élément event d'une Composition.

Short Exécutant de l'évènement documenté principal

Control 1..1
This element is affected by the following invariants: ele-1

Is Modifier false

Summary false

484. Composition.event:principalEvent.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

486. Composition.event:principalEvent.code

Definition

Short Code(s) that apply to the event being documented

Comments

Control 0..*

For example codes, see ActCode (3.0.0)
(example to http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0)

This list of codes represents the main clinical acts being documented.

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

488. Composition.event:principalEvent.period

Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Date et heure de l’évènement documenté

Control 1..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

490. Composition.event:principalEvent.detail

Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short The event(s) being documented

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

492. Composition.section

Definition

The root of the sections that make up the composition.

Short Composition is broken into sections

Control 1..*

Is Modifier false

Must Support true

Summary false

494. Composition.section.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

496. Composition.section.extension

Definition

An Extension

Short Extension

Control 0..*

Is Modifier false

Summary false

This element introduces a set of slices on Composition.section.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

498. Composition.section.extension:change-made

Slice Name change-made

Definition

Short Change Made

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(Change Made) (Complex Extension)

Is Modifier false

500. Composition.section.extension:section-note

Slice Name section-note

Definition

Permet de porter des commentaires dans chaque section.

Short Commentaires supplémentaires pour chaque section.

Comments

This extension SHALL NOT be used if the resource already has standard 'note' element (or equivalent) of type Annotation on the same element

Control 0..*

Type Extension(Note) (Extension Type: Annotation)

Is Modifier false

Summary false

502. Composition.section.modifierExtension

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

504. Composition.section.title

Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Label for section (e.g. for ToC)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

506. Composition.section.code

Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 1..1

Binding The codes SHALL be taken from JdvSectionDocumentCisis (20260619134042)
(required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-section-document-cisis|20260619134042)

Is Modifier false

Must Support true

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

508. Composition.section.author

Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Who and/or what authored the section

Control 0..*

Type Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

510. Composition.section.focus

Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Short Who/what the section is about, when it is not about the subject of composition

Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

512. Composition.section.text

Definition

Short Text summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 1..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

514. Composition.section.mode

Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Short working | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListMode
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

516. Composition.section.orderedBy

Definition

Specifies the order applied to the items in the section entries.

Short Order of section entries

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

Control 0..1

The codes SHOULD be taken from ListOrderCodes
(preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

518. Composition.section.entry

Definition

A reference to the actual resource from which the narrative in the section is derived.

Short A reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

520. Composition.section.emptyReason

Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Why the section is empty

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasons
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

If a section is empty, why it is empty.