CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: CH EMED Medication Prescription Composition

Definition of the composition for the medication prescription document

Usages:

• Use this Profile: CH EMED Medication Prescription Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension				Content/Rules for all slices
extension:informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | CH Core RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
extension:dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medicinal prescription record (record artifact) Binding: DocumentEntry.typeCode (extensible) Constraints: ch-emed-comp-pre Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:device	Σ	0..*	Reference(Device)	The device that created the document
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
title	Σ	1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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.
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
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. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | CH Core RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:originalRepresentation	C	1..1	BackboneElement	Original representation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..1	Narrative	Representation of the original view This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	1..1	Reference(Binary)	PDF
section:prescription	C	1..1	BackboneElement	Medication prescription Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	0..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:annotation	C	0..1	BackboneElement	Annotation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	extensible	DocumentEntry.typeCode	📦3.3.0-ci-build	CH Term vnull
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
language		1..1	code	Language of the document
identifier
value		1..1	string	The value that is unique Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status		1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	C	1..1	CodeableConcept	Medicinal prescription record (record artifact) Constraints: ch-emed-comp-pre Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
subject		1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
date		1..1	dateTime	The document's creation date and time
Slices for author		1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:person		1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(Device)	The device that created the document
title		1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality
Slices for extension				Content/Rules for all slices
extension:confidentialityCode		1..1	EPRConfidentialityCode	Swiss realm of confidentiality code according to the Swiss EPR regulation
attester		0..*	BackboneElement	The authenticator of the document (person)
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
time		0..1	dateTime	Timestamp of the signature
section		2..*	BackboneElement	Composition is broken into sections
Slices for section				Content/Rules for all slices
section:originalRepresentation		1..1	BackboneElement	Original representation
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
entry		1..1	Reference(Binary)	PDF
section:prescription		1..1	BackboneElement	Medication prescription
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
text		0..1	Narrative	Human readable text of this section
entry		1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:annotation		0..1	BackboneElement	Annotation
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Human readable text of this section
section		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
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		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | CH Core RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
extension:dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medicinal prescription record (record artifact) Binding: DocumentEntry.typeCode (extensible) Constraints: ch-emed-comp-pre Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:device	Σ	0..*	Reference(Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
value		0..1	string	Primitive value for code
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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(CH Core Patient | CH Core RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
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. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | CH Core RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(CH Core Organization EPR)	Organization which maintains the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
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: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
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(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
section:originalRepresentation	C	1..1	BackboneElement	Original representation Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	1..1	Narrative	Representation of the original view This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	1..1	Reference(Binary)	PDF
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:prescription	C	1..1	BackboneElement	Medication prescription Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	1..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	extensible	DocumentEntry.typeCode	📦3.3.0-ci-build	CH Term vnull
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author:person.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author:device.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester.​party.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​party.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.custodian.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:prescription.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:prescription.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:prescription.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotation.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Summary

Mandatory: 7 elements(3 nested mandatory elements)
Fixed: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED PractitionerRole (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole)
• CH Core Patient EPR (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr)
• CH Core RelatedPerson (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson)
• CH EMED MedicationRequest (PRE) (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationrequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.author (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension				Content/Rules for all slices
extension:informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | CH Core RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
extension:dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medicinal prescription record (record artifact) Binding: DocumentEntry.typeCode (extensible) Constraints: ch-emed-comp-pre Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
author:device	Σ	0..*	Reference(Device)	The device that created the document
Slices for extension				Content/Rules for all slices
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
title	Σ	1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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.
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
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. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | CH Core RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:originalRepresentation	C	1..1	BackboneElement	Original representation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..1	Narrative	Representation of the original view This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	1..1	Reference(Binary)	PDF
section:prescription	C	1..1	BackboneElement	Medication prescription Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	0..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	C	1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
section:annotation	C	0..1	BackboneElement	Annotation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	1..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	extensible	DocumentEntry.typeCode	📦3.3.0-ci-build	CH Term vnull
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreCompositionEPR

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
language		1..1	code	Language of the document
identifier
value		1..1	string	The value that is unique Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status		1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	C	1..1	CodeableConcept	Medicinal prescription record (record artifact) Constraints: ch-emed-comp-pre Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
subject		1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
date		1..1	dateTime	The document's creation date and time
Slices for author		1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:person		1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
author:device		0..*	Reference(Device)	The device that created the document
title		1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality
Slices for extension				Content/Rules for all slices
extension:confidentialityCode		1..1	EPRConfidentialityCode	Swiss realm of confidentiality code according to the Swiss EPR regulation
attester		0..*	BackboneElement	The authenticator of the document (person)
Slices for attester				Content/Rules for all slices
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
time		0..1	dateTime	Timestamp of the signature
section		2..*	BackboneElement	Composition is broken into sections
Slices for section				Content/Rules for all slices
section:originalRepresentation		1..1	BackboneElement	Original representation
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
entry		1..1	Reference(Binary)	PDF
section:prescription		1..1	BackboneElement	Medication prescription
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
text		0..1	Narrative	Human readable text of this section
entry		1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
reference		1..1	string	Literal reference, Relative, internal or absolute URL
section		0..0
section:annotation		0..1	BackboneElement	Annotation
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
text		1..1	Narrative	Human readable text of this section
section		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	CHCoreCompositionEPR	CH EMED Medication Prescription Composition
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		1..1	code	Language of the document Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:informationRecipient		0..*	Reference(CH Core Practitioner | CH Core Patient | CH Core RelatedPerson | CH Core Organization)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
extension:dataEnterer		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	ΣC	1..1	CodeableConcept	Medicinal prescription record (record artifact) Binding: DocumentEntry.typeCode (extensible) Constraints: ch-emed-comp-pre Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 761938008
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(CH Core Patient EPR)	A patient for whom this document instance was created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(CH Core Encounter)	Context of the Composition
date	Σ	1..1	dateTime	The document's creation date and time
Slices for author	Σ	1..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the composition Slice: Unordered, Closed by profile:resolve()
author:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:person	Σ	1..*	Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson)	The author of the document (person)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author:device	Σ	0..*	Reference(Device)	The device that created the document
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:time		0..1	dateTime	Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	'Rezept' in german or 'Ordonnance' in french or 'Ricetta' in italian or 'Prescription' in english or titles in other languages are also allowed
confidentiality	Σ	1..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:confidentialityCode		1..1	CodeableConcept	Swiss realm of confidentiality code according to the Swiss EPR regulation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode Binding: DocumentEntry.confidentialityCode (extensible)
value		0..1	string	Primitive value for code
Slices for attester		0..*	BackboneElement	The authenticator of the document (person) Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
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(CH Core Patient | CH Core RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
attester:legalAuthenticator		0..1	BackboneElement	The legal authenticator of the document (person)
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. Fixed Value: legal
time		0..1	dateTime	Timestamp of the signature
party		1..1	Reference(CH Core Patient EPR | CH Core RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR)	Who attested the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(CH Core Organization EPR)	Organization which maintains the composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(CH Core Composition EPR)
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: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
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(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
section:originalRepresentation	C	1..1	BackboneElement	Original representation Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Original Darstellung' in german or 'Représentation originale' in french or 'Rappresentazione originale' in italian or 'Original representation' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55108-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	1..1	Narrative	Representation of the original view This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	1..1	Reference(Binary)	PDF
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:prescription	C	1..1	BackboneElement	Medication prescription Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Arzneimittelverordnung' in german or 'Prescription médicamenteuse' in french or 'Prescrizione di droga' in italian or 'Prescription for medication' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57828-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	1..*	Reference(CH EMED MedicationRequest (PRE))	Medication request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:annotation	C	0..1	BackboneElement	Annotation Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
code		1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48767-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | CH Core RelatedPerson | CH Core Organization EPR)	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	1..1	Narrative	Human readable text of this section This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	extensible	DocumentEntry.typeCode	📦3.3.0-ci-build	CH Term vnull
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author:person.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.author:device.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester.​party.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legalAuthenticator.​party.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.custodian.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v6.5
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:originalRepresentation.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:prescription.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:prescription.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:prescription.​entry.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section:prescription.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.
Composition.section:annotation.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:annotation.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section:annotation.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-emed-comp-pre	error	Composition.type	If a LOINC code is additionally provided, '57833-6' shall be used for this document type.	coding.exists(system = 'http://loinc.org') and (coding.exists(system = 'http://loinc.org' and code = '57833-6'))
cmp-1	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:originalRepresentation, Composition.section:prescription, Composition.section:annotation	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CHCoreCompositionEPR

Summary

Mandatory: 7 elements(3 nested mandatory elements)
Fixed: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED PractitionerRole (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole)
• CH Core Patient EPR (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr)
• CH Core RelatedPerson (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson)
• CH EMED MedicationRequest (PRE) (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationrequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.author (Closed)