RuSEMD, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/Ru-SEMD/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: SEMD Composition (Состав СЭМД)

Профиль Composition для структурированных электронных медицинских документов

Usages:

• Derived from this Profile: PLI SEMD Composition (Состав СЭМД ПЛИ)

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
meta	Σ	0..1	Meta	Metadata about the resource
Slices for tag	Σ	1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:semdGuideId	SΣ	1..1	Coding	Идентификатор руководства СЭМД Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
code	ΣC	0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Язык документа Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Required Pattern: ru
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
extension		0..0
url		1..1	uri	"https://fhir.ru/ig/semd/StructureDefinition/composition-recipient"
value[x]		1..1	Reference(Core Organization (Организация))	Value of extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	SΣ	1..1	Identifier	Идентификатор документа в МИС с учетом версии
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
identifier:versionIndependentId	SΣ	0..1	Identifier	Набор версий документа
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Роль медицинского работника)	Автор
title	SΣ	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
custodian	SΣ	0..1	Reference(Core Organization (Организация))	Хранитель документа
section	SC	0..*	BackboneElement	Секция документа Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.language	required	Pattern Value: ru http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:versionIndependentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:versionIndependentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG

Constraints

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

This structure is derived from Core_Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
meta
Slices for tag		1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:semdGuideId	S	1..1	Coding	Идентификатор руководства СЭМД
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
code		0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
language		0..1	code	Язык документа Required Pattern: ru
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
value[x]
identifier
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value		0..1	string	The value that is unique Required Pattern: urn:oid:1.2.643.5.1.13
Slices for identifier		1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	S	1..1	Identifier	Идентификатор документа в МИС с учетом версии
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value
identifier:versionIndependentId	S	0..1	Identifier	Набор версий документа
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value
type	S	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
subject	S	1..1	Reference(Core Patient (Пациент))	Пациент
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Роль медицинского работника)	Автор
title	S	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
custodian	S	0..1	Reference(Core Organization (Организация))	Хранитель документа
section	S	0..*	BackboneElement	Секция документа
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:semdGuideId	SΣ	1..1	Coding	Идентификатор руководства СЭМД Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Язык документа Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Required Pattern: ru
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.ru/ig/semd/StructureDefinition/composition-recipient"
value[x]		1..1	Reference(Core Organization (Организация))	Value of extension
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	0..1	string	The value that is unique Required Pattern: urn:oid:1.2.643.5.1.13
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
Slices for identifier	Σ	1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	SΣ	1..1	Identifier	Идентификатор документа в МИС с учетом версии
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionIndependentId	SΣ	0..1	Identifier	Набор версий документа
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	SΣ	1..*	Reference(Роль медицинского работника)	Автор
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	SΣ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Роль медицинского работника)	Who attested the composition
custodian	SΣ	0..1	Reference(Core Organization (Организация))	Хранитель документа
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
section	SC	0..*	BackboneElement	Секция документа Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.language	required	Pattern Value: ru http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.extension:compositionRecipient.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Composition.extension:compositionRecipient.value[x].identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.extension:compositionRecipient.value[x].identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:misDocumentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:versionIndependentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:versionIndependentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard

Constraints

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

This structure is derived from Core_Composition

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

• https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
• https://fhir.ru/ig/semd/StructureDefinition/signature-code

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.meta.tag
• The element 1 is sliced based on the value of Composition.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
meta	Σ	0..1	Meta	Metadata about the resource
Slices for tag	Σ	1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:semdGuideId	SΣ	1..1	Coding	Идентификатор руководства СЭМД Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
code	ΣC	0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Язык документа Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Required Pattern: ru
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
extension		0..0
url		1..1	uri	"https://fhir.ru/ig/semd/StructureDefinition/composition-recipient"
value[x]		1..1	Reference(Core Organization (Организация))	Value of extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	SΣ	1..1	Identifier	Идентификатор документа в МИС с учетом версии
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
identifier:versionIndependentId	SΣ	0..1	Identifier	Набор версий документа
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Роль медицинского работника)	Автор
title	SΣ	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
custodian	SΣ	0..1	Reference(Core Organization (Организация))	Хранитель документа
section	SC	0..*	BackboneElement	Секция документа Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.language	required	Pattern Value: ru http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:versionIndependentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:versionIndependentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG

Constraints

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

Differential View

This structure is derived from Core_Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
meta
Slices for tag		1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:semdGuideId	S	1..1	Coding	Идентификатор руководства СЭМД
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
code		0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
language		0..1	code	Язык документа Required Pattern: ru
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
value[x]
identifier
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value		0..1	string	The value that is unique Required Pattern: urn:oid:1.2.643.5.1.13
Slices for identifier		1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	S	1..1	Identifier	Идентификатор документа в МИС с учетом версии
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value
identifier:versionIndependentId	S	0..1	Identifier	Набор версий документа
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value
type	S	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
subject	S	1..1	Reference(Core Patient (Пациент))	Пациент
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(Роль медицинского работника)	Автор
title	S	1..1	string	Human Readable name/title
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
custodian	S	0..1	Reference(Core Organization (Организация))	Хранитель документа
section	S	0..*	BackboneElement	Секция документа
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Core_Composition	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	1..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:semdGuideId	SΣ	1..1	Coding	Идентификатор руководства СЭМД Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/semd/systems/semd-guide
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Binding: Руководства по реализации СЭМД (required)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Язык документа Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Required Pattern: ru
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:compositionRecipient		0..1	(Complex)	Получатель информации, указываем фиксированное значение - Минздрав РФ URL: https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.ru/ig/semd/StructureDefinition/composition-recipient"
value[x]		1..1	Reference(Core Organization (Организация))	Value of extension
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	0..1	string	The value that is unique Required Pattern: urn:oid:1.2.643.5.1.13
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this Composition, represented as a URI (globally unique)
Slices for identifier	Σ	1..*	Identifier	Version-independent identifier for the Composition Slice: Unordered, Open by value:system
identifier:misDocumentId	SΣ	1..1	Identifier	Идентификатор документа в МИС с учетом версии
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionIndependentId	SΣ	0..1	Identifier	Набор версий документа
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the Composition
status	?!Σ	1..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Тип медицинского документа Binding: Виды медицинской документации (required)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: ReferencedItemCategoryValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
author	SΣ	1..*	Reference(Роль медицинского работника)	Автор
name	Σ	0..1	string	Name for this Composition (computer friendly)
title	SΣ	1..1	string	Human Readable name/title
note		0..*	Annotation	For any additional notes
attester	S	0..*	BackboneElement	Лицо, придавшее юридическую силу
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:signatureCode		0..1	string	Подпись лица, придавшего документу юридическую силу URL: https://fhir.ru/ig/semd/StructureDefinition/signature-code
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Роль медицинского работника)	Who attested the composition
custodian	SΣ	0..1	Reference(Core Organization (Организация))	Хранитель документа
relatesTo		0..*	RelatedArtifact	Relationships to other compositions/documents
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	CodeableReference(Resource)	The event(s) being documented, as code(s), reference(s), or both Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
section	SC	0..*	BackboneElement	Секция документа Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Код секции документа Binding: Коды секций документа (required)
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section		0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Composition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Composition.meta.tag:semdGuideId.code	required	SEMD_Vs_CDA_Giude_Id(a valid code from SEMD CodeSystem CDA Guide ID (Руководства СЭМД)) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-guide-id From this IG
Composition.language	required	Pattern Value: ru http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Composition.extension:compositionRecipient.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Composition.extension:compositionRecipient.value[x].identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.extension:compositionRecipient.value[x].identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:misDocumentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:misDocumentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.identifier:versionIndependentId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Composition.identifier:versionIndependentId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
Composition.type	required	SEMD_Vs_Nsi_Types_Medical_Documentation(a valid code from Виды медицинской документации) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-documentation From this IG
Composition.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
Composition.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
Composition.event.detail	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	required	SEMD_Vs_Cda_Section_Codes(a valid code from Коды секций СЭМД) https://fhir.ru/ig/semd/ValueSet/semd-vs-cda-section-codes From this IG
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard

Constraints

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

This structure is derived from Core_Composition

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

• https://fhir.ru/ig/semd/StructureDefinition/composition-recipient
• https://fhir.ru/ig/semd/StructureDefinition/signature-code

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.meta.tag
• The element 1 is sliced based on the value of Composition.identifier