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Resource Profile: ehealth-composition

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition Version: latest
Active as of 2024-06-07 Computable Name: ehealth-composition

Introduction

A set of healthcare-related information that is assembled together into a single logical document 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. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

Scope and Usage

In scope of the eHealth infrastructure, the Composition is used primarily for internal use when assembling resources into documents during publication to national document sharing.

When retrieving documents from national document sharing, these are represented as Clinical Document Architecture (CDA) XML documents. When choosing to transform the content to FHIR resources, the resulting Composition is the FHIR resource tying the other, resulting resources together as a document.

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... subject 1..1Reference(Resource)Who and/or what the composition is about
... encounter 0..1Reference(Encounter) {b, c}Context of the Composition
... author 1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... attester
.... party 0..1Reference(ehealth-patient | ehealth-practitioner | ehealth-organization)Who attested the composition
... custodian 0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition
... relatesTo
.... Slices for target[x] 1..1Identifier, Reference(Composition)Target of the relationship
Slice: Unordered, Open by type:$this
..... target[x]:targetIdentifier 0..1IdentifierTarget of the relationship
..... target[x]:targetReference 0..1Reference(ehealth-composition)Target of the relationship
... event
.... code 0..*CodeableConceptCode(s) that apply to the event being documented
Binding: Event Type Codes (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ0..1CodeableConceptCategorization of Composition
Binding: Document Class (required)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter) {b, c}Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... custodian Σ0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ0..1CodeableConceptCategorization of Composition
Binding: Document Class (required)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter) {b, c}Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(ehealth-patient | ehealth-practitioner | ehealth-organization)Who attested the composition
... custodian Σ0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... Slices for target[x] 1..1Target of the relationship
Slice: Unordered, Closed by type:$this
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
..... target[x]:targetIdentifier 0..1IdentifierTarget of the relationship
..... target[x]:targetReference 0..1Reference(ehealth-composition)Target of the relationship
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: Event Type Codes (required)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section C0..*BackboneElementComposition is broken into sections
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... title 0..1stringLabel for section (e.g. for ToC)
.... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
.... text C0..1NarrativeText summary of the section, for human interpretation
.... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C0..*Reference(Resource)A reference to data that supports this section
.... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... type 1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... subject 1..1Reference(Resource)Who and/or what the composition is about
... encounter 0..1Reference(Encounter) {b, c}Context of the Composition
... author 1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... attester
.... party 0..1Reference(ehealth-patient | ehealth-practitioner | ehealth-organization)Who attested the composition
... custodian 0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition
... relatesTo
.... Slices for target[x] 1..1Identifier, Reference(Composition)Target of the relationship
Slice: Unordered, Open by type:$this
..... target[x]:targetIdentifier 0..1IdentifierTarget of the relationship
..... target[x]:targetReference 0..1Reference(ehealth-composition)Target of the relationship
... event
.... code 0..*CodeableConceptCode(s) that apply to the event being documented
Binding: Event Type Codes (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ0..1CodeableConceptCategorization of Composition
Binding: Document Class (required)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter) {b, c}Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... custodian Σ0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... authorOrganization 0..*Reference(ehealth-organization) {b, c}Organization that authored the Composition
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-composition-authorOrganization
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Document Type (required)
... category Σ0..1CodeableConceptCategorization of Composition
Binding: Document Class (required)
... subject Σ1..1Reference(Resource)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter) {b, c}Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(ehealth-practitioner | ehealth-device | ehealth-patient | ehealth-relatedperson)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(ehealth-patient | ehealth-practitioner | ehealth-organization)Who attested the composition
... custodian Σ0..1Reference(ehealth-organization) {b, c}Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... Slices for target[x] 1..1Target of the relationship
Slice: Unordered, Closed by type:$this
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
..... target[x]:targetIdentifier 0..1IdentifierTarget of the relationship
..... target[x]:targetReference 0..1Reference(ehealth-composition)Target of the relationship
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: Event Type Codes (required)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section C0..*BackboneElementComposition is broken into sections
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... title 0..1stringLabel for section (e.g. for ToC)
.... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
.... text C0..1NarrativeText summary of the section, for human interpretation
.... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C0..*Reference(Resource)A reference to data that supports this section
.... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
Composition.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.coderequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron