{
  "resourceType": "StructureDefinition",
  "id": "e200ats-composition",
  "url": "http://esveikata.lt/Profile/Composition/E200",
  "version": "1.0.0",
  "name": "E200ATSComposition",
  "status": "active",
  "date": "2023-02-09",
  "description": "Lithuanian national fhir profile for E200 composition.",
  "fhirVersion": "5.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition.id",
        "path": "Composition.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Composition.meta",
        "path": "Composition.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Composition.version",
        "path": "Composition.version",
        "short": "An explicitly assigned identifer of a variation of the content in the Composition",
        "definition": "An explicitly assigned identifer of a variation of the content in the Composition.",
        "comment": "While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.version",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.version"
          },
          {
            "identity": "cda",
            "map": ".versionNumber"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.version"
          }
        ]
      },
      {
        "id": "Composition.version",
        "path": "Composition.version",
        "short": "An explicitly assigned identifer of a variation of the content in the Composition",
        "definition": "An explicitly assigned identifer of a variation of the content in the Composition.",
        "comment": "While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the Composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.version"
          },
          {
            "identity": "cda",
            "map": ".versionNumber"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.version"
          }
        ]
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "short": "registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown",
        "definition": "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
        "comment": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements.   \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
        "requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": false,
        "isModifier": true,
        "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionStatus"
            }
          ],
          "strength": "required",
          "description": "The workflow/clinical status of the composition.",
          "valueSet": "http://hl7.org/fhir/ValueSet/composition-status|5.0.0"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
          },
          {
            "identity": "cda",
            "map": "n/a"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.docStatus"
          }
        ]
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Kind of composition (LOINC if possible)",
        "definition": "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
        "comment": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
        "requirements": "Key metadata element describing the composition, used in searching/filtering.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentType"
            }
          ],
          "strength": "preferred",
          "description": "Type of a composition.",
          "valueSet": "http://hl7.org/fhir/ValueSet/doc-typecodes"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.type"
          }
        ]
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "short": "Who and/or what the composition is about",
        "definition": "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
        "comment": "For clinical documents, this is usually the patient.",
        "requirements": "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity": "cda",
            "map": ".recordTarget"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.subject"
          }
        ]
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "short": "Context of the Composition",
        "definition": "Describes the clinical encounter or type of care this documentation is associated with.",
        "requirements": "Provides context for the composition and supports searching.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Encounter"
            ]
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.encounter"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "rim",
            "map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          },
          {
            "identity": "cda",
            "map": ".componentOf.encompassingEncounter"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.context"
          }
        ]
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "short": "Composition editing time",
        "definition": "The composition editing time, when the composition was last logically changed by the author.",
        "comment": "The Last Modified Date on the composition may be after the date of the document was attested without being changed. This means that the date on an amended document is the date of the amendment, not the date of original authorship.",
        "requirements": "dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring this version of the Composition. When packaged in a document, [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp) is the date of packaging.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.date",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.done[x]"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime[type=\"TS\"]"
          },
          {
            "identity": "cda",
            "map": ".effectiveTime"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.content.attachment.date, DocumentReference.date"
          }
        ]
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "short": "Who and/or what authored the composition",
        "definition": "Identifies who is responsible for the information in the composition, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer"
          },
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.author"
          }
        ]
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "Human Readable name/title",
        "definition": "Official human-readable label for the composition.",
        "comment": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.description, DocumentReference.content.attachment.title"
          }
        ]
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "short": "Attests to accuracy of composition",
        "definition": "A participant who has attested to the accuracy of the composition/document.",
        "comment": "Only list each attester once.",
        "requirements": "Identifies responsibility for the accuracy of the composition content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.attester",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".authenticator/.legalAuthenticator"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.attester"
          }
        ]
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "short": "Organization which maintains the composition",
        "definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
        "comment": "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
        "requirements": "Identifies where to go to find the current version, where to report issues, etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.custodian",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
          },
          {
            "identity": "cda",
            "map": ".custodian.assignedCustodian"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.custodian"
          }
        ]
      },
      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "short": "Composition is broken into sections",
        "definition": "The root of the sections that make up the composition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      }
    ]
  }
}