CH eTOC Composition - CH eTOC (R4) v4.0.0-ballot-ci-build

CH eTOC (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot-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-etoc/ and changes regularly. See the Directory of published versions

Resource Profile: CH eTOC Composition

Official URL: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition				Version: 4.0.0-ballot-ci-build
Active as of 2024-12-18				Computable Name: ChEtocComposition
Copyright/Legal: CC0-1.0

Definition for the Composition resource in the context of electronic transition of care.

Usage:

Use this Resource Profile: CH eTOC Document
Examples for this Resource Profile: Composition/CompositionEtoc

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from ChOrfComposition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ChOrfComposition	CH eTOC Composition
type		1..1	CodeableConcept	Precise type of clinical document 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: 371535009
category		1..1	CodeableConcept	High-level kind of a clinical document at a macro level 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: 721927009
title		1..1	string	Meaningful title Required Pattern: Zuweisungsschreiben
Slices for section				Content/Rules for all slices
section:orderReferral		1..1	BackboneElement	Contains the data that supports the order and referral by form.
entry		3..*	Reference(Resource)	A reference to data that supports this section
Slices for entry				Content/Rules for all slices
entry:Questionnaire		1..1	Reference(CH ORF Questionnaire)	Questionnaire
entry:QuestionnaireResponse		1..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse
entry:ServiceRequest		1..*	Reference(CH eTOC Service Request)	ServiceRequest
section:sectionPurpose	S	0..1	BackboneElement	Contains information about the purpose/reason
title	S	1..1	string	Purpose
code	S	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: 42349-1
display		1..1	string	Representation defined by the system Fixed Value: Reason for referral (narrative)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..1	Reference(CH eTOC Service Request)	A reference to data that supports this section
section		0..0
section:sectionProblems	S	0..1	BackboneElement	Contains the problem list
title	S	1..1	string	Problems
code	S	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: 57852-6
display		1..1	string	Representation defined by the system Fixed Value: Problem list Narrative - Reported
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Primary Diagnosis Condition \| CH eTOC Secondary Diagnosis Condition)	A reference to data that supports this section
section:sectionMedications	S	0..1	BackboneElement	Contains information about the medication
title	S	1..1	string	Medication
code	S	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: 42346-7
display		1..1	string	Representation defined by the system Fixed Value: Medications on admission (narrative)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH Core MedicationStatement)	A reference to data that supports this section
section		0..0
section:sectionImmunizations	S	0..1	BackboneElement	Contains information about immunizations
title	S	1..1	string	Immunizations
code	S	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: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC immunizationstatus)	A reference to data that supports this section
section		0..0
section:sectionAllergies	S	0..1	BackboneElement	Contains information about allergies and intolerances
title	S	1..1	string	Allergies and intolerances
code	S	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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions Document
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Allergy Intolerance)	A reference to data that supports this section
section:sectionPastIllnessHx	S	0..1	BackboneElement	Composition is broken into sections
title	S	1..1	string	History of past illness
code	S	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: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of past illness Narrative
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	A reference to data that supports this section
section		0..0
section:sectionFunctionalStatus	S	0..1	BackboneElement	Composition is broken into sections
title	S	1..1	string	Functional Status
code	S	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: 47420-5
display		1..1	string	Representation defined by the system Fixed Value: Functional status assessment note
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Functional Status Condition)	A reference to data that supports this section
section		0..0
section:sectionProceduresHx	S	0..1	BackboneElement	Composition is broken into sections
title	S	1..1	string	History of Procedures
code	S	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: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Procedure)	A reference to data that supports this section
section		0..0
section:sectionSocialHistory	S	0..1	BackboneElement	Composition is broken into sections
title	S	1..1	string	Social history
code	S	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: 29762-2
display		1..1	string	Representation defined by the system Fixed Value: Social history Narrative
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..1	Reference(CH eTOC Social History Condition)	A reference to data that supports this section
section		0..0
section:sectionMedicalDevices	S	0..1	BackboneElement	Contains information about medical devices
title	S	1..1	string	Medical devices
code	S	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: 46264-8
display		1..1	string	Representation defined by the system Fixed Value: History of medical device use
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Device)	A reference to data that supports this section
section:sectionResults	S	0..1	BackboneElement	Contains informaion about diagnostic results
title	S	1..1	string	Diagnostic results
code	S	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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH eTOC Lab Observation \| CH eTOC Pathology Observation \| CH eTOC Radiology Observation \| CH eTOC Cardiology Observation \| CH eTOC Body Weight Observation \| CH eTOC Body Height Observation)	A reference to data that supports this section
section		0..0
section:sectionPregnancyHx	S	0..1	BackboneElement	Contains informaion about pregnancy
title	S	1..1	string	Pregnancy
code	S	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: 10162-6
display		1..1	string	Representation defined by the system Fixed Value: History of pregnancies Narrative
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..1	Reference(CH eTOC Pregnancy Status Observation \| CH eTOC Expected Delivery Date Observation)	A reference to data that supports this section
section		0..0
section:sectionAttachment	S	0..1	BackboneElement	Contains attachment (whatever is considered as important)
title	S	1..1	string	Attachments
code	S	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: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(CH ORF DocumentReference)	A reference to data that supports this section
section		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ChOrfComposition	CH eTOC Composition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text	S	1..1	Narrative	Narrative text of the composition ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
dataEnterer	S	0..1	(Complex)	The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
urgentNoficationContactForTheResponseToThisDocument	S	0..1	Reference(CH Core PractitionerRole)	An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
receiver	S	0..1	Reference(CH Core PractitionerRole)	Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
copyReceiver	S	0..*	Reference(CH Core PractitionerRole \| CH Core Patient \| RelatedPerson)	Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
precedentDocument	S	0..1	Identifier	Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
antecedentEpisodeOfCare	S	0..1	Reference(CH ORF Episode of Care)	Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
initiator	S	0..1	(Complex)	Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
patientConsent	S	0..1	Reference(CH ORF Consent)	To specify if the patient gave an informed consent to this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Precise type of clinical document Binding: DocumentEntry.typeCode (preferred) ele-1: All FHIR elements must have a @value or children 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: 371535009
category	SΣ	1..1	CodeableConcept	High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred) ele-1: All FHIR elements must have a @value or children 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: 721927009
subject	SΣ	1..1	Reference(CH Core Patient)	Patient as the principle target of a particular form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Meaningful title ele-1: All FHIR elements must have a @value or children Required Pattern: Zuweisungsschreiben
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
section:orderReferral	SC	1..1	BackboneElement	Contains the data that supports the order and referral by form. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Order-Referral ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 93037-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Slices for entry	SC	3..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:Questionnaire	SC	1..1	Reference(CH ORF Questionnaire)	Questionnaire ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:QuestionnaireResponse	SC	1..1	Reference(CH ORF QuestionnaireResponse)	QuestionnaireResponse ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:ServiceRequest	SC	1..*	Reference(CH eTOC Service Request)	ServiceRequest ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
entry:DocumentReference	SC	0..*	Reference(CH ORF DocumentReference)	DocumentReference ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
section:originalRepresentation	SC	0..1	BackboneElement	Contains the original representation as a PDF of the current document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Original representation ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 55108-5
text	SC	1..1	Narrative	Representation of the original view ele-1: All FHIR elements must have a @value or children
entry	SC	1..1	Reference(Binary)	According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. ele-1: All FHIR elements must have a @value or children
section:sectionPurpose	SC	0..1	BackboneElement	Contains information about the purpose/reason cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Purpose ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 42349-1
display		1..1	string	Representation defined by the system Fixed Value: Reason for referral (narrative)
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..1	Reference(CH eTOC Service Request)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionProblems	SC	0..1	BackboneElement	Contains the problem list cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Problems ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 57852-6
display		1..1	string	Representation defined by the system Fixed Value: Problem list Narrative - Reported
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Primary Diagnosis Condition \| CH eTOC Secondary Diagnosis Condition)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionMedications	SC	0..1	BackboneElement	Contains information about the medication cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Medication ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 42346-7
display		1..1	string	Representation defined by the system Fixed Value: Medications on admission (narrative)
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH Core MedicationStatement)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionImmunizations	SC	0..1	BackboneElement	Contains information about immunizations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Immunizations ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC immunizationstatus)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAllergies	SC	0..1	BackboneElement	Contains information about allergies and intolerances cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Allergies and intolerances ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 48765-2
display		1..1	string	Representation defined by the system Fixed Value: Allergies and adverse reactions Document
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Allergy Intolerance)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionPastIllnessHx	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	History of past illness ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 11348-0
display		1..1	string	Representation defined by the system Fixed Value: History of past illness Narrative
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Past History of Illnesses Condition)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionFunctionalStatus	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Functional Status ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 47420-5
display		1..1	string	Representation defined by the system Fixed Value: Functional status assessment note
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Functional Status Condition)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionProceduresHx	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	History of Procedures ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Procedure)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionSocialHistory	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Social history ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 29762-2
display		1..1	string	Representation defined by the system Fixed Value: Social history Narrative
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..1	Reference(CH eTOC Social History Condition)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionMedicalDevices	SC	0..1	BackboneElement	Contains information about medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Medical devices ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 46264-8
display		1..1	string	Representation defined by the system Fixed Value: History of medical device use
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Device)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionResults	SC	0..1	BackboneElement	Contains informaion about diagnostic results cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Diagnostic results ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH eTOC Lab Observation \| CH eTOC Pathology Observation \| CH eTOC Radiology Observation \| CH eTOC Cardiology Observation \| CH eTOC Body Weight Observation \| CH eTOC Body Height Observation)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionPregnancyHx	SC	0..1	BackboneElement	Contains informaion about pregnancy cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Pregnancy ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 10162-6
display		1..1	string	Representation defined by the system Fixed Value: History of pregnancies Narrative
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..1	Reference(CH eTOC Pregnancy Status Observation \| CH eTOC Expected Delivery Date Observation)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAttachment	SC	0..1	BackboneElement	Contains attachment (whatever is considered as important) cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title	S	1..1	string	Attachments ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children 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: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
text	SC	0..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(CH ORF DocumentReference)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status\|4.0.1` from the FHIR Standard
Composition.type	preferred	Pattern: SNOMED-CT Code 371535009 `http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode`
Composition.category	preferred	Pattern: SNOMED-CT Code 721927009 `http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode`
Composition.section:orderReferral.code	example	Pattern: LOINC Code 93037-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:originalRepresentation.code	example	Pattern: LOINC Code 55108-5 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionPurpose.code	example	Pattern: LOINC Code 42349-1("Reason for referral (narrative)") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionProblems.code	example	Pattern: LOINC Code 57852-6("Problem list Narrative - Reported") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionMedications.code	example	Pattern: LOINC Code 42346-7("Medications on admission (narrative)") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Pattern: LOINC Code 11369-6("History of Immunization Narrative") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionAllergies.code	example	Pattern: LOINC Code 48765-2("Allergies and adverse reactions Document") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC Code 11348-0("History of past illness Narrative") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC Code 47420-5("Functional status assessment note") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC Code 47519-4("History of Procedures Document") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC Code 29762-2("Social history Narrative") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC Code 46264-8("History of medical device use") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionResults.code	example	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC Code 10162-6("History of pregnancies Narrative") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:sectionAttachment.code	example	Pattern: LOINC Code 55107-7("Addendum Document") `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment	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:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment	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()