eHealth Infrastructure
3.3.0 - ci-build Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-composition

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition Version: 3.3.0
Active as of 2024-12-20 Computable Name: ehealth-composition

Introduction

A set of healthcare-related information that is assembled together into a single logical document 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. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

Scope and Usage

In scope of the eHealth infrastructure, the Composition is used primarily for internal use when assembling resources into documents during publication to national document sharing.

When retrieving documents from national document sharing, these are represented as Clinical Document Architecture (CDA) XML documents. When choosing to transform the content to FHIR resources, the resulting Composition is the FHIR resource tying the other, resulting resources together as a document.

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
... category 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
... encounter 0..1 Reference(Encounter) {b, c} Context of the Composition
... author 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
... attester
.... party 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-organization) Who attested the composition
... custodian 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
... relatesTo
.... Slices for target[x] 1..1 Identifier, Reference(Composition) Target of the relationship
Slice: Unordered, Open by type:$this
..... target[x]:targetIdentifier 0..1 Identifier Target of the relationship
..... target[x]:targetReference 0..1 Reference(ehealth-composition) Target of the relationship
... event
.... code 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: Event Type Codes (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
ele-1: All FHIR elements must have a @value or children
... category Σ 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter) {b, c} Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author Σ 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... custodian Σ 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) {b, c} Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-organization) Who attested the composition
... custodian Σ 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... 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
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... Slices for target[x] 1..1 Target of the relationship
Slice: Unordered, Closed by type:$this
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
..... target[x]:targetIdentifier 0..1 Identifier Target of the relationship
..... target[x]:targetReference 0..1 Reference(ehealth-composition) Target of the relationship
... 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
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: Event Type Codes (required)
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... section C 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... 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
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C 0..* Reference(Resource) A reference to data that supports this section
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
... category 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
... encounter 0..1 Reference(Encounter) {b, c} Context of the Composition
... author 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
... attester
.... party 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-organization) Who attested the composition
... custodian 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
... relatesTo
.... Slices for target[x] 1..1 Identifier, Reference(Composition) Target of the relationship
Slice: Unordered, Open by type:$this
..... target[x]:targetIdentifier 0..1 Identifier Target of the relationship
..... target[x]:targetReference 0..1 Reference(ehealth-composition) Target of the relationship
... event
.... code 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: Event Type Codes (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
ele-1: All FHIR elements must have a @value or children
... category Σ 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter) {b, c} Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
... author Σ 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... custodian Σ 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... authorOrganization 0..* Reference(ehealth-organization) {b, c} Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of Composition
Binding: Document Class (required)
... subject Σ 1..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter) {b, c} Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-organization) Who attested the composition
... custodian Σ 0..1 Reference(ehealth-organization) {b, c} Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... 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
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... Slices for target[x] 1..1 Target of the relationship
Slice: Unordered, Closed by type:$this
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
..... target[x]:targetIdentifier 0..1 Identifier Target of the relationship
..... target[x]:targetReference 0..1 Reference(ehealth-composition) Target of the relationship
... 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
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: Event Type Codes (required)
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... section C 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string Label for section (e.g. for ToC)
.... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... 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
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C 0..* Reference(Resource) A reference to data that supports this section
.... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron