core-composition
type: StructureDefinition
node role: treeRoot
id:
  v: core-composition
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition core-composition Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation #xD; type 1..1 CodeableConcept Тип документа #xD; subject 0..* Reference(Core Patient (Пациент)) Пациент #xD; author 1..* Reference(Core PractitionerRole (Роль медицинского работника)) Автор #xD; attester 0..* BackboneElement Лицо, придавшее юридическую силу #xD; party 0..1 Reference(Core PractitionerRole (Роль медицинского работника)) Who attested the composition #xD; custodian 0..1 Reference(Core Organization (Организация)) Хранитель документа #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://fhir.ru/ig/core/StructureDefinition/core-composition
  l: core-composition
version:
  v: 0.2.0
name:
  v: Core_Composition
title:
  v: Core Composition (Документ)
status:
  v: active
date:
  v: 2025-11-24T12:01:48+00:00
publisher:
  v: HL7 FHIR Россия
contact:
  name:
    v: HL7 FHIR Россия
  telecom:
    system:
      v: url
    value:
      v: https://fhir.ru
description:
  v: Базовый профиль Composition для РФ
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: cda
  uri:
    v: http://hl7.org/v3/cda
    l: cda
  name:
    v: CDA (R2)
mapping:
  identity:
    v: fhirdocumentreference
  uri:
    v: http://hl7.org/fhir/documentreference
    l: documentreference
  name:
    v: FHIR DocumentReference
kind:
  v: resource
abstract:
  v: false
type:
  v: Composition
  l: Composition
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Composition
  l: Composition
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 5.0.0
  element:
    id:
      v: Composition
    path:
      v: Composition
    short:
      v: A set of resources composed into a single coherent clinical statement with clinical attestation
    definition:
      v: A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).
    comment:
      v: While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Composition
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity, Role, or Act,Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
    mapping:
      identity:
        v: workflow
      map:
        v: Event
    mapping:
      identity:
        v: w5
      map:
        v: infrastructure.documents

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

identity:
  v: cda
map:
  v: ClinicalDocument

identity:
  v: fhirdocumentreference
map:
  v: when described by DocumentReference

id:
  v: Composition.id
path:
  v: Composition.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.meta
path:
  v: Composition.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.implicitRules
path:
  v: Composition.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: Composition.language
path:
  v: Composition.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|5.0.0
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: Composition.text
path:
  v: Composition.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: Contained resources do not have a 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Composition.contained
path:
  v: Composition.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.extension
path:
  v: Composition.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.modifierExtension
path:
  v: Composition.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.url
path:
  v: Composition.url
short:
  v: Canonical identifier for this Composition, represented as a URI (globally unique)
definition:
  v: An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers.
comment:
  v: Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.
requirements:
  v: Allows the Composition to be referenced by a single globally unique identifier.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.url
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier

id:
  v: Composition.identifier
path:
  v: Composition.identifier
short:
  v: Version-independent identifier for the Composition
definition:
  v: A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.
comment:
  v: Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: Document.id / Document.setId
mapping:
  identity:
    v: cda
  map:
    v: .setId
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.identifier

id:
  v: Composition.version
path:
  v: Composition.version
short:
  v: An explicitly assigned identifer of a variation of the content in the Composition
definition:
  v: An explicitly assigned identifer of a variation of the content in the Composition.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.version
mapping:
  identity:
    v: cda
  map:
    v: .versionNumber
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.version

id:
  v: Composition.status
path:
  v: Composition.status
short:
  v: registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
definition:
  v: The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.
comment:
  v: 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.
requirements:
  v: Need to be able to mark interim, amended, or withdrawn compositions or documents.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: CompositionStatus
  strength:
    v: required
  description:
    v: The workflow/clinical status of the composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/composition-status|5.0.0
    l: http://hl7.org/fhir/ValueSet/composition-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
mapping:
  identity:
    v: cda
  map:
    v: n/a
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.docStatus

id:
  v: Composition.type
path:
  v: Composition.type
short:
  v: Тип документа
definition:
  v: 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.
comment:
  v: 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.
requirements:
  v: Key metadata element describing the composition, used in searching/filtering.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DocumentType
  strength:
    v: preferred
  description:
    v: Type of a composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-typecodes|5.0.0
    l: http://hl7.org/fhir/ValueSet/doc-typecodes
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.type

id:
  v: Composition.category
path:
  v: Composition.category
short:
  v: Categorization of Composition
definition:
  v: 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.
requirements:
  v: Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DocumentCategory
  strength:
    v: example
  description:
    v: High-level kind of a clinical document at a macro level.
  value set:
    v: http://hl7.org/fhir/ValueSet/referenced-item-category|5.0.0
    l: http://hl7.org/fhir/ValueSet/referenced-item-category
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
mapping:
  identity:
    v: cda
  map:
    v: n/a
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumenttReference.category

id:
  v: Composition.subject
path:
  v: Composition.subject
short:
  v: Пациент
definition:
  v: 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).
comment:
  v: For clinical documents, this is usually the patient.
requirements:
  v: Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.subject
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.ru/ig/core/StructureDefinition/core-patient
    l: core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="SBJ"].role[typeCode="PAT"]
mapping:
  identity:
    v: cda
  map:
    v: .recordTarget
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.subject

id:
  v: Composition.encounter
path:
  v: Composition.encounter
short:
  v: Context of the Composition
definition:
  v: Describes the clinical encounter or type of care this documentation is associated with.
requirements:
  v: Provides context for the composition and supports searching.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
mapping:
  identity:
    v: cda
  map:
    v: .componentOf.encompassingEncounter
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.context

id:
  v: Composition.date
path:
  v: Composition.date
short:
  v: Composition editing time
definition:
  v: The composition editing time, when the composition was last logically changed by the author.
comment:
  v: The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.
requirements:
  v: dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R5/bundle-definitions.html#Bundle.timestamp) is the date of packaging.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.date
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime[type="TS"]
mapping:
  identity:
    v: cda
  map:
    v: .effectiveTime
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.content.attachment.date, DocumentReference.date

id:
  v: Composition.useContext
path:
  v: Composition.useContext
short:
  v: The context that the content is intended to support
definition:
  v: The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances.
comment:
  v: When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
requirements:
  v: Assist in searching for appropriate content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.useContext
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: UsageContext
    l: UsageContext
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.author
path:
  v: Composition.author
short:
  v: Автор
definition:
  v: Identifies who is responsible for the information in the composition, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Composition.author
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole
    l: core-practitionerrole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.author

id:
  v: Composition.name
path:
  v: Composition.name
short:
  v: Name for this Composition (computer friendly)
definition:
  v: A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.
comment:
  v: The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
requirements:
  v: Support human navigation and code generation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.name
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.title
path:
  v: Composition.title
short:
  v: Human Readable name/title
definition:
  v: Official human-readable label for the composition.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.title
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.description, DocumentReference.content.attachment.title

id:
  v: Composition.note
path:
  v: Composition.note
short:
  v: For any additional notes
definition:
  v: For any additional notes.
comment:
  v: A comment, general note or annotation not coded elsewhere.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: Composition.attester
path:
  v: Composition.attester
short:
  v: Лицо, придавшее юридическую силу
definition:
  v: A participant who has attested to the accuracy of the composition/document.
comment:
  v: Only list each attester once.
requirements:
  v: Identifies responsibility for the accuracy of the composition content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.attester
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator/.legalAuthenticator
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.attester

id:
  v: Composition.attester.id
path:
  v: Composition.attester.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.extension
path:
  v: Composition.attester.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.modifierExtension
path:
  v: Composition.attester.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.attester.mode
path:
  v: Composition.attester.mode
short:
  v: personal | professional | legal | official
definition:
  v: The type of attestation the authenticator offers.
requirements:
  v: Indicates the level of authority of the attestation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.attester.mode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: CompositionAttestationMode
  strength:
    v: preferred
  description:
    v: The way in which a person authenticated a composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/composition-attestation-mode|5.0.0
    l: http://hl7.org/fhir/ValueSet/composition-attestation-mode
mapping:
  identity:
    v: rim
  map:
    v: unique(./modeCode)
mapping:
  identity:
    v: cda
  map:
    v: implied by .authenticator/.legalAuthenticator
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.attester.mode

id:
  v: Composition.attester.time
path:
  v: Composition.attester.time
short:
  v: When the composition was attested
definition:
  v: When the composition was attested by the party.
requirements:
  v: Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.attester.time
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./time[type="TS" and isNormalDatatype()]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator.time
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.attester.time

id:
  v: Composition.attester.party
path:
  v: Composition.attester.party
short:
  v: Who attested the composition
definition:
  v: Who attested the composition in the specified way.
requirements:
  v: Identifies who has taken on the responsibility for accuracy of the composition content.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.attester.party
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole
    l: core-practitionerrole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.witness
mapping:
  identity:
    v: rim
  map:
    v: ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator.assignedEnttty
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.attester.party

id:
  v: Composition.custodian
path:
  v: Composition.custodian
short:
  v: Хранитель документа
definition:
  v: Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.
comment:
  v: 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.
requirements:
  v: Identifies where to go to find the current version, where to report issues, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.custodian
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.ru/ig/core/StructureDefinition/core-organization
    l: core-organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
mapping:
  identity:
    v: cda
  map:
    v: .custodian.assignedCustodian
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.custodian

id:
  v: Composition.relatesTo
path:
  v: Composition.relatesTo
short:
  v: Relationships to other compositions/documents
definition:
  v: Relationships that this composition has with other compositions or documents that already exist.
comment:
  v: To reference (using relatesTo) a Bundle of type "document" or another Composition where you only have the identifier, use a resourceReference with an identifier.\ When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource. Here is an example of using relatesTo to reference another Bundle of type "document" or Composition where you only have the identifier: ``` "relatesTo": [{ "type": "replaces", "resourceReference": { "identifier": { "system": "...", "value": "..." } } }] ```
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.relatesTo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: RelatedArtifact
    l: RelatedArtifact
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship
mapping:
  identity:
    v: cda
  map:
    v: .relatedDocument
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.relatesTo

id:
  v: Composition.event
path:
  v: Composition.event
short:
  v: The clinical service(s) being documented
definition:
  v: The clinical service, such as a colonoscopy or an appendectomy, being documented.
comment:
  v: The event needs to be consistent with the type element, though can provide further information if desired.
requirements:
  v: Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.event
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
mapping:
  identity:
    v: cda
  map:
    v: .documentationOf.serviceEvent

id:
  v: Composition.event.id
path:
  v: Composition.event.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.event.extension
path:
  v: Composition.event.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.event.modifierExtension
path:
  v: Composition.event.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.event.period
path:
  v: Composition.event.period
short:
  v: The period covered by the documentation
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.event.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: cda
  map:
    v: .effectiveTime
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.period

id:
  v: Composition.event.detail
path:
  v: Composition.event.detail
short:
  v: The event(s) being documented, as code(s), reference(s), or both
definition:
  v: 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 case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource.
comment:
  v: 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 events 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.event.detail
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DocumentEventType
  strength:
    v: example
  description:
    v: This list of codes represents the main clinical acts being documented.
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActCode
    l: v3-ActCode
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="SUBJ"].target
mapping:
  identity:
    v: cda
  map:
    v: n/a
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.event

id:
  v: Composition.section
path:
  v: Composition.section
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    l: Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    l: Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: 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.
comment:
  v: 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.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: 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.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|5.0.0
    l: http://hl7.org/fhir/ValueSet/doc-section-codes
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: 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).
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: 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.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: 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.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|5.0.0
    l: http://hl7.org/fhir/ValueSet/list-order
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section.entry
path:
  v: Composition.section.entry
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Resource
condition:
  v: cmp-1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: 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.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|5.0.0
    l: http://hl7.org/fhir/ValueSet/list-empty-reason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
  l: Composition.section
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

element:
  id:
    v: Composition
  path:
    v: Composition
element:
  id:
    v: Composition.type
  path:
    v: Composition.type
  short:
    v: Тип документа
element:
  id:
    v: Composition.subject
  path:
    v: Composition.subject
  short:
    v: Пациент
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.ru/ig/core/StructureDefinition/core-patient
      l: core-patient
element:
  id:
    v: Composition.author
  path:
    v: Composition.author
  short:
    v: Автор
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole
      l: core-practitionerrole
element:
  id:
    v: Composition.attester
  path:
    v: Composition.attester
  short:
    v: Лицо, придавшее юридическую силу
element:
  id:
    v: Composition.attester.party
  path:
    v: Composition.attester.party
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole
      l: core-practitionerrole
element:
  id:
    v: Composition.custodian
  path:
    v: Composition.custodian
  short:
    v: Хранитель документа
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.ru/ig/core/StructureDefinition/core-organization
      l: core-organization