MyHealth@EU Core
1.0.0 - trial-use
150
MyHealth@EU Core
1.0.0 - trial-use
150
MyHealth@EU Core - Downloaded Version 1.0.0 See the Directory of published versions
| 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:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  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)
| ||||
  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 |
OΣ | 1..1 | Identifier | Report identifier
| ||||
| status |
?!OΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||
| type |
OΣ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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 |
OΣ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
| ||||
| date |
OΣ | 1..1 | dateTime | Composition editing time
| ||||
| author |
OΣ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
OΣ | 1..1 | string | Human Readable name/title
| ||||
| 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
| ||||
| 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 |
OΣ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
| ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| 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. |
| 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: | ||||
|---|---|---|---|---|---|---|---|---|
| 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)
| ||||
| 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
| ||||
| status |
O | 1..1 | code | preliminary | final | amended | entered-in-error
| ||||
| type |
O | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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
| ||||
| date |
O | 1..1 | dateTime | Composition editing time
| ||||
| author |
O | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
O | 1..1 | string | Human Readable name/title
| ||||
| 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
| ||||
| 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
| ||||
 section |
||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible) | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG |
| Composition.section.code | Base | extensible | eHDSI Section | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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)
| ||||
| 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 |
OΣ | 1..1 | Identifier | Report identifier
| ||||
| status |
?!OΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||
| type |
OΣ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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 |
OΣ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
| ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date |
OΣ | 1..1 | dateTime | Composition editing time
| ||||
| author |
OΣ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
OΣ | 1..1 | string | Human Readable name/title
| ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| 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
| ||||
| 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 |
OΣ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
| ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 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: ActCode (3.0.0) (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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| 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 | MyHealthEu MVC package v9.1 |
| 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. |
| 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:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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)
| ||||
| 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 |
OΣ | 1..1 | Identifier | Report identifier
| ||||
| status |
?!OΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||
| type |
OΣ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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 |
OΣ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
| ||||
| date |
OΣ | 1..1 | dateTime | Composition editing time
| ||||
| author |
OΣ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
OΣ | 1..1 | string | Human Readable name/title
| ||||
| 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
| ||||
| 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 |
OΣ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
| ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| 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. |
| 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: | ||||
|---|---|---|---|---|---|---|---|---|
| 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)
| ||||
| 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
| ||||
| status |
O | 1..1 | code | preliminary | final | amended | entered-in-error
| ||||
| type |
O | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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
| ||||
| date |
O | 1..1 | dateTime | Composition editing time
| ||||
| author |
O | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
O | 1..1 | string | Human Readable name/title
| ||||
| 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
| ||||
| 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
| ||||
| section |
||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: eHDSI Section (extensible) | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| Composition.type | Base | required | eHDSI Document Types | 📦1.0.0 | This IG |
| Composition.section.code | Base | extensible | eHDSI Section | 📦9.1.0 | MyHealthEu MVC package v9.1 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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)
| ||||
| 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 |
OΣ | 1..1 | Identifier | Report identifier
| ||||
| status |
?!OΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||
| type |
OΣ | 1..1 | CodeableConcept | Type of document/report (e.g. imaging report LOINC) Binding: eHDSI Document Types (required)
| ||||
| 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 |
OΣ | 1..1 | Reference(Patient (Core)) | Who and/or what the composition is about
| ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date |
OΣ | 1..1 | dateTime | Composition editing time
| ||||
| author |
OΣ | 1..* | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Device) | Who and/or what authored the composition
| ||||
| title |
OΣ | 1..1 | string | Human Readable name/title
| ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| 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
| ||||
| 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 |
OΣ | 0..1 | Reference(Organization (Core)) | Organization which maintains the composition
| ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| 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: ActCode (3.0.0) (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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | required | eHDSI Language | 📦9.1.0 | MyHealthEu MVC package v9.1 |
| 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 | MyHealthEu MVC package v9.1 |
| 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. |
| 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:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ MyHealth@Eu. Package myhealth.eu.fhir.core#1.0.0 based on FHIR 4.0.1. Generated 2026-05-04
