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
Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition | Version: 3.3.0 | |||
Active as of 2024-12-20 | Computable Name: ehealth-composition |
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.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Path | Conformance | ValueSet | URI |
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | |
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG | |
Composition.event.code | required | EventTypeCodeshttp://ehealth.sundhed.dk/vs/event-type-codes from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children |
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 |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | |
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | ||||
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | required | EventTypeCodeshttp://ehealth.sundhed.dk/vs/event-type-codes from this IG | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
This structure is derived from Composition
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
Path | Conformance | ValueSet | URI |
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | |
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG | |
Composition.event.code | required | EventTypeCodeshttp://ehealth.sundhed.dk/vs/event-type-codes from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children |
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 |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | |
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | required | DocumentTypehttp://ehealth.sundhed.dk/vs/document-type from this IG | ||||
Composition.category | required | DocumentClasshttp://ehealth.sundhed.dk/vs/document-class from this IG | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | required | EventTypeCodeshttp://ehealth.sundhed.dk/vs/event-type-codes from this IG | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
This structure is derived from Composition
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron