SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

Resource Profile: SGHI Composition

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-composition Version: 0.1.0
Draft as of 2025-11-27 Computable Name: SGHIComposition

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category Σ 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... subject Σ 0..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name Σ 1..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Human Readable name/title

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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 Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... identifier 1..* Identifier Version-independent identifier for the Composition
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... type 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... encounter 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... author 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name 1..1 string Name for this Composition (computer friendly)
... attester
.... mode 1..1 SGHICodeableConcept personal | professional | legal | official
.... party 0..1 SGHIReference(SGHI Patient | SGHI Organization) Who attested the composition
... section
.... code 0..1 SGHICodeableConcept Classification of section (recommended)
.... author 0..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the section
.... orderedBy 0..1 SGHICodeableConcept Order of section entries
.... emptyReason 0..1 SGHICodeableConcept Why the section is empty

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
... identifier Σ 1..* Identifier Version-independent identifier for the Composition
.... id 0..1 id 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)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!Σ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category Σ 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... subject Σ 0..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author Σ 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name Σ 1..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Human Readable name/title
... note 0..* Annotation For any additional notes
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 SGHICodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..1 SGHIReference(SGHI Patient | SGHI Organization) Who attested the composition
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* RelatedArtifact Relationships to other compositions/documents
... 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
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... section C 0..* BackboneElement Composition is broken into sections
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 0..1 string Label for section (e.g. for ToC)
.... code 0..1 SGHICodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
.... author 0..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... orderedBy 0..1 SGHICodeableConcept 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 SGHICodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base required All Languages 📍5.0.0 FHIR Std.
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.
Composition.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
Composition.event.detail Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section 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 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category Σ 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... subject Σ 0..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name Σ 1..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Human Readable name/title

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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 Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... identifier 1..* Identifier Version-independent identifier for the Composition
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... type 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... encounter 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... author 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name 1..1 string Name for this Composition (computer friendly)
... attester
.... mode 1..1 SGHICodeableConcept personal | professional | legal | official
.... party 0..1 SGHIReference(SGHI Patient | SGHI Organization) Who attested the composition
... section
.... code 0..1 SGHICodeableConcept Classification of section (recommended)
.... author 0..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the section
.... orderedBy 0..1 SGHICodeableConcept Order of section entries
.... emptyReason 0..1 SGHICodeableConcept Why the section is empty

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this Composition, represented as a URI (globally unique)
... identifier Σ 1..* Identifier Version-independent identifier for the Composition
.... id 0..1 id 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)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the Composition
... status ?!Σ 1..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 SGHICodeableConcept Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (extensible)
... category Σ 0..* SGHICodeableConcept Categorization of Composition
Binding: ReferencedItemCategoryValueSet (extensible)
... subject Σ 0..1 Reference(Resource) Who and/or what the composition is about
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... useContext Σ 0..* UsageContext The context that the content is intended to support
... author Σ 1..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the composition
... name Σ 1..1 string Name for this Composition (computer friendly)
... title Σ 1..1 string Human Readable name/title
... note 0..* Annotation For any additional notes
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 SGHICodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..1 SGHIReference(SGHI Patient | SGHI Organization) Who attested the composition
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* RelatedArtifact Relationships to other compositions/documents
... 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
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* CodeableReference(Resource) The event(s) being documented, as code(s), reference(s), or both
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... section C 0..* BackboneElement Composition is broken into sections
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 0..1 string Label for section (e.g. for ToC)
.... code 0..1 SGHICodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
.... author 0..* SGHIReference(SGHI Patient | SGHI Organization) Who and/or what authored the section
.... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
.... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... orderedBy 0..1 SGHICodeableConcept 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 SGHICodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base required All Languages 📍5.0.0 FHIR Std.
Composition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Composition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Composition.status Base required Composition Status 📍5.0.0 FHIR Std.
Composition.type Base extensible FHIR Document Type Codes 📦5.0.0 FHIR Std.
Composition.category Base extensible Referenced Item Category Value Set 📦5.0.0 FHIR Std.
Composition.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
Composition.event.detail Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍5.0.0 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍5.0.0 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section 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 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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()

 

Other representations of profile: CSV, Excel, Schematron