MyHealth@EU Core
1.0.0 - trial-use 150

MyHealth@EU Core - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Composition (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: CompositionMyHealthCore

This profile sets minimum expectations for the Composition resource for commonly used EHDS documents.

This profile constrains the Composition resource for the purpose of this guide.

Usages:

- Refer to this Profile: DiagnosticReport (Core)
- Examples for this Profile: Composition/f2a3b4c5-d6e7-8901-fabc-012345678901

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..* | CompositionEuCore | 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
language | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O Σ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category | Σ | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
date | O Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O Σ | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition 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.
party |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
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. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | 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.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | 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().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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from CompositionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | A set of resources composed into a single coherent clinical statement with clinical attestation
language | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for extension |  |  |  | Content/Rules for all slices
extension:informationRecipient |  | 0..* | InformationRecipient | Composition: Information recipient
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
identifier | O | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | O | 1..1 | code | preliminary | final | amended | entered-in-error
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category |  | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this
subject | O | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
date | O | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
party |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
Slices for attester |  |  |  | Content/Rules for all slices
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
section |  |  |  |
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.section.​code | Base | extensible | eHDSI Section | 📦9.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | 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 | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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:version |  | 0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x] |  | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O Σ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category | Σ | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | O Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O Σ | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition 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(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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(Composition) |
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 | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | Event period
detail | Σ | 0..* | Reference(Resource) | The event(s) 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible)
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 1..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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.category | Base | example | Document Class Value Set | 📍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:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍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 v7.1
Composition.section.​code | Base | extensible | eHDSI Section | 📦9.1.0 | This IG
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.

#### 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().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 CompositionEuCore

Summary

Structures

This structure refers to these other structures:

- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.category

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | 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
language | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O Σ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category | Σ | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
date | O Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O Σ | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition 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.
party |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
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. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | 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.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | 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().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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from CompositionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | A set of resources composed into a single coherent clinical statement with clinical attestation
language | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
Slices for extension |  |  |  | Content/Rules for all slices
extension:informationRecipient |  | 0..* | InformationRecipient | Composition: Information recipient
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
identifier | O | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | O | 1..1 | code | preliminary | final | amended | entered-in-error
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category |  | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this
subject | O | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
date | O | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
party |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
Slices for attester |  |  |  | Content/Rules for all slices
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
section |  |  |  |
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.section.​code | Base | extensible | eHDSI Section | 📦9.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | 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 | O | 0..1 | code | Language of the composition content Binding: eHDSI Language (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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:version |  | 0..1 | (Complex) | R5: An explicitly assigned identifer of a variation of the content in the Composition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x] |  | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device | Patient (Core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | Report identifier
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
status | ?!O Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
type | O Σ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
category | Σ | 0..* | CodeableConcept | Document Category Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | O Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
author | O Σ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
title | O Σ | 1..1 | string | Human Readable name/title
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition 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(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
attester:legalAuthenticator | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
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. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (Core) | Practitioner (Core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(Practitioner (Core) | PractitionerRole (Core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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(Composition) |
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 | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | Event period
detail | Σ | 0..* | Reference(Resource) | The event(s) 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible)
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 1..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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG
Composition.category | Base | example | Document Class Value Set | 📍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:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍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 v7.1
Composition.section.​code | Base | extensible | eHDSI Section | 📦9.1.0 | This IG
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.

#### 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().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 CompositionEuCore

Summary

Structures

This structure refers to these other structures:

- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.category

Maturity: 2

Other representations of profile: CSV, Excel, Schematron