Composition

Foundation

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

PathCard.TypeDescription & Constraints
Composition0..*A set of resources composed into a single coherent clinical statement with clinical attestation
.idΣ0..1StringLogical id of this artifact
.metaΣ0..1MetaMetadata about the resource
.implicitRules?!Σ0..1uriA set of rules under which this content was created
.language0..1codeLanguage of the resource content
Bindinglanguages(preferred)
.text0..1NarrativeText summary of the resource, for human interpretation
.contained0..*ResourceContained, inline Resources
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!0..*ExtensionExtensions that cannot be ignored
.identifierΣ0..1IdentifierVersion-independent identifier for the Composition
.status?!Σ1..1codepreliminary | final | amended | entered-in-error
Bindingcomposition-status(required)
.typeΣ1..1CodeableConceptKind of composition (LOINC if possible)
Bindingdoc-typecodes(preferred)
.categoryΣ0..*CodeableConceptCategorization of Composition
Bindingdocument-classcodes(example)
.subjectΣ0..1Reference(Resource)Who and/or what the composition is about
.encounterΣ0..1Reference(Encounter)Context of the Composition
.dateΣ1..1dateTimeComposition editing time
.authorΣ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
.titleΣ1..1stringHuman Readable name/title
.confidentialityΣ0..1codeAs defined by affinity domain
Bindingv3-ConfidentialityClassification(required)
.attester0..*BackboneElementAttests to accuracy of composition
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.mode1..1codepersonal | professional | legal | official
Bindingcomposition-attestation-mode(required)
.time0..1dateTimeWhen the composition was attested
.party0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.custodianΣ0..1Reference(Organization)Organization which maintains the composition
.relatesTo0..*BackboneElementRelationships to other compositions/documents
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.code1..1codereplaces | transforms | signs | appends
Bindingdocument-relationship-type(required)
.target[x]1..1Identifier | Reference(Composition)Target of the relationship
.eventΣ0..*BackboneElementThe clinical service(s) being documented
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.codeΣ0..*CodeableConceptCode(s) that apply to the event being documented
Bindingv3-ActCode(example)
.periodΣ0..1PeriodThe period covered by the documentation
.detailΣ0..*Reference(Resource)The event(s) being documented
.section0..*BackboneElementComposition is broken into sections
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.title0..1stringLabel for section (e.g. for ToC)
.code0..1CodeableConceptClassification of section (recommended)
Bindingdoc-section-codes(example)
.author0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.focus0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
.text0..1NarrativeText summary of the section, for human interpretation
.mode0..1codeworking | snapshot | changes
Bindinglist-mode(required)
.orderedBy0..1CodeableConceptOrder of section entries
Bindinglist-order(preferred)
.entry0..*Reference(Resource)A reference to data that supports this section
.emptyReason0..1CodeableConceptWhy the section is empty
Bindinglist-empty-reason(preferred)
.section0..*Nested Section