NHS Digital FHIR Implementation Guide

NHSDigital-Composition

Important: Experimental. This page is for illustration of a concept

Conformance url
https://fhir.nhs.uk/StructureDefinition/NHSDigital-Composition

This FHIR R4 profile is designed to set a core Composition standard for:

Transfer of Care ITK3 and STU3 Digital Meds
Summary Care Record
GP Connect unstructured record

Differential
Examples

from

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NHSDigitalComposition (Composition)			https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition	There are no (further) constraints on this element Data type https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition
subject	C	1..	Reference(NHSDigitalPatient)	There are no (further) constraints on this element Element id Composition.subject Data type Reference(NHSDigitalPatient) Constraints patient-reference: subject - An identifier reference or resource reference must be provided `(reference.exists() or (identifier.exists()))` patient-nhs: Supplied NHS Number is outside the English and Welsh NHS Number range or length of the number is wrong. `identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists().not() or (identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists() and identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').value.matches('^([456789]{1}[0-9]{9})$'))`
section		1..		There are no (further) constraints on this element Element id Composition.section Slicing Unordered, Closed, by code.coding.code(Value)
(All Slices)				The requirements in this element apply to all slices
code		1..		There are no (further) constraints on this element Element id Composition.section.code
coding		1..1		There are no (further) constraints on this element Element id Composition.section.code.coding
system		1..		There are no (further) constraints on this element Element id Composition.section.code.coding.system
code		1..		There are no (further) constraints on this element Element id Composition.section.code.coding.code
display		1..		There are no (further) constraints on this element Element id Composition.section.code.coding.display
text		1..		There are no (further) constraints on this element Element id Composition.section.text
admissionDetailsSection		..1		There are no (further) constraints on this element Element id Composition.section:admissionDetailsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:admissionDetailsSection.title Fixed value Admission details
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:admissionDetailsSection.code.coding.code Fixed value 886781000000108
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:admissionDetailsSection.code.coding.display Fixed value Admission details
entry		1..	Reference(NHSDigitalEncounter)	There are no (further) constraints on this element Element id Composition.section:admissionDetailsSection.entry Data type Reference(NHSDigitalEncounter)
allergiesAndAdverseReactionsSection		..1		There are no (further) constraints on this element Element id Composition.section:allergiesAndAdverseReactionsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:allergiesAndAdverseReactionsSection.title Fixed value Allergies and adverse reactions
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:allergiesAndAdverseReactionsSection.code.coding.code Fixed value 886921000000105
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:allergiesAndAdverseReactionsSection.code.coding.display Fixed value Allergies and adverse reactions
entry			Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-AllergyIntolerance)	There are no (further) constraints on this element Element id Composition.section:allergiesAndAdverseReactionsSection.entry Data type Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-AllergyIntolerance)
assessmentScalesSection		..1		There are no (further) constraints on this element Element id Composition.section:assessmentScalesSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:assessmentScalesSection.title Fixed value Assessment scales
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:assessmentScalesSection.code.coding.code Fixed value 887141000000103
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:assessmentScalesSection.code.coding.display Fixed value Assessment scales
clinicalSummarySection		..1		There are no (further) constraints on this element Element id Composition.section:clinicalSummarySection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:clinicalSummarySection.title Fixed value Clinical summary
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:clinicalSummarySection.code.coding.code Fixed value 887181000000106
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:clinicalSummarySection.code.coding.display Fixed value Clinical summary
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:clinicalSummarySection.entry Data type Reference(Binary)
diagnosesSection		..1		There are no (further) constraints on this element Element id Composition.section:diagnosesSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:diagnosesSection.title Fixed value Diagnoses
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
system			Fixed Value	There are no (further) constraints on this element Element id Composition.section:diagnosesSection.code.coding.system Fixed value http://snomed.info/sct
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:diagnosesSection.code.coding.code Fixed value 887161000000102
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:diagnosesSection.code.coding.display Fixed value Diagnoses
userSelected		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.code.coding.userSelected
text		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.code.text
text		1..		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.text
mode		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.mode
orderedBy		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.orderedBy
entry			Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition)	There are no (further) constraints on this element Element id Composition.section:diagnosesSection.entry Data type Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition)
reference		1..		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:diagnosesSection.section
dischargeDetailsSection		..1		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.title Fixed value Discharge details
code		1..		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code
coding		1..1		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding
system		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding.system Fixed value http://snomed.info/sct
version		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding.version
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding.code Fixed value 886811000000106
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding.display Fixed value Discharge details
userSelected		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.coding.userSelected
text		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.code.text
text		1..		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.text
mode		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.mode
orderedBy		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.orderedBy
entry		1..	Reference(NHSDigitalEncounter)	There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.entry Data type Reference(NHSDigitalEncounter)
reference		1..		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:dischargeDetailsSection.section
distributionListSection		..1		There are no (further) constraints on this element Element id Composition.section:distributionListSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:distributionListSection.title Fixed value Distribution list
code		1..		There are no (further) constraints on this element Element id Composition.section:distributionListSection.code
coding		1..1		There are no (further) constraints on this element Element id Composition.section:distributionListSection.code.coding
system		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:distributionListSection.code.coding.system Fixed value http://snomed.info/sct
version		..0		There are no (further) constraints on this element Element id Composition.section:distributionListSection.code.coding.version
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:distributionListSection.code.coding.code Fixed value 887261000000109
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:distributionListSection.code.coding.display Fixed value Distribution list
gpPracticeSection		..1		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.title Fixed value GP practice
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
version		..0		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.code.coding.version
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.code.coding.code Fixed value 886711000000101
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.code.coding.display Fixed value GP practice
userSelected		..0		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.code.coding.userSelected
text		..0		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.code.text
text		1..		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.text
mode		..0		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.mode
orderedBy		..0		There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.orderedBy
entry		1..	Reference(NHSDigitalOrganization)	There are no (further) constraints on this element Element id Composition.section:gpPracticeSection.entry Data type Reference(NHSDigitalOrganization)
individualRequirementsSection		..1		There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.title Fixed value Individual requirements
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
version		..0		There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.code.coding.version
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.code.coding.code Fixed value 1078911000000106
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.code.coding.display Fixed value Individual requirements
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.entry Data type Reference(Binary)
reference		1..		There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:individualRequirementsSection.section
informationAndAdviceGivenSection		..1		There are no (further) constraints on this element Element id Composition.section:informationAndAdviceGivenSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:informationAndAdviceGivenSection.title Fixed value Information and advice given
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:informationAndAdviceGivenSection.code.coding.code Fixed value 1052951000000105
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:informationAndAdviceGivenSection.code.coding.display Fixed value Information and advice given
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:informationAndAdviceGivenSection.entry Data type Reference(Binary)
investigationResultsSection				There are no (further) constraints on this element Element id Composition.section:investigationResultsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.title Fixed value Investigation results
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.code.coding.code Fixed value 1082101000000102
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.code.coding.display Fixed value Investigation results
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.entry Data type Reference(Binary)
reference		1..		There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:investigationResultsSection.section
legalInformationSection		..1		There are no (further) constraints on this element Element id Composition.section:legalInformationSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:legalInformationSection.title Fixed value Legal information
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:legalInformationSection.code.coding.code Fixed value 886961000000102
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:legalInformationSection.code.coding.display Fixed value Legal information
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:legalInformationSection.entry Data type Reference(Binary)
reference		1..		There are no (further) constraints on this element Element id Composition.section:legalInformationSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:legalInformationSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:legalInformationSection.section
medicationsAndMedicalDevicesSection		..1		There are no (further) constraints on this element Element id Composition.section:medicationsAndMedicalDevicesSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:medicationsAndMedicalDevicesSection.title Fixed value Medications and medical devices
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:medicationsAndMedicalDevicesSection.code.coding.code Fixed value 933361000000108
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:medicationsAndMedicalDevicesSection.code.coding.display Fixed value Medications and medical devices
entry			Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement)	There are no (further) constraints on this element Element id Composition.section:medicationsAndMedicalDevicesSection.entry Data type Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement)
participationInResearchSection		..1		There are no (further) constraints on this element Element id Composition.section:participationInResearchSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:participationInResearchSection.title Fixed value Participation in research
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:participationInResearchSection.code.coding.code Fixed value 886751000000102
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:participationInResearchSection.code.coding.display Fixed value Participation in research
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:participationInResearchSection.entry Data type Reference(Binary)
patientAndCarerConcernsExpectationsAndWishesSection				There are no (further) constraints on this element Element id Composition.section:patientAndCarerConcernsExpectationsAndWishesSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientAndCarerConcernsExpectationsAndWishesSection.title Fixed value Patient and carer concerns, expectations and wishes
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientAndCarerConcernsExpectationsAndWishesSection.code.coding.code Fixed value 1052941000000107
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientAndCarerConcernsExpectationsAndWishesSection.code.coding.display Fixed value Patient and carer concerns, expectations and wishes
patientDemographicsSection		1..1		There are no (further) constraints on this element Element id Composition.section:patientDemographicsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientDemographicsSection.title Fixed value Patient demographics
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientDemographicsSection.code.coding.code Fixed value 886731000000109
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:patientDemographicsSection.code.coding.display Fixed value Patient demographics
entry		1..	Reference(NHSDigitalPatient)	There are no (further) constraints on this element Element id Composition.section:patientDemographicsSection.entry Data type Reference(NHSDigitalPatient)
personCompletingRecordSection		..1		There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection.title Fixed value Person completing record
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection.code.coding.code Fixed value 887231000000104
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection.code.coding.display Fixed value Person completing record
entry			Reference(NHSDigitalPractitioner)	There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection.entry Data type Reference(NHSDigitalPractitioner)
reference		1..		There are no (further) constraints on this element Element id Composition.section:personCompletingRecordSection.entry.reference
planAndRequestedActionsSection		..1		There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.title Fixed value Plan and requested actions
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.code.coding.code Fixed value 887201000000105
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.code.coding.display Fixed value Plan and requested actions
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.entry Data type Reference(Binary)
reference		1..		There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.entry.reference
emptyReason		..0		There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.emptyReason
section		..0		There are no (further) constraints on this element Element id Composition.section:planAndRequestedActionsSection.section
proceduresSection		..1		There are no (further) constraints on this element Element id Composition.section:proceduresSection
title		1..	Fixed Value	There are no (further) constraints on this element Element id Composition.section:proceduresSection.title Fixed value Procedures
code		1..		There are no (further) constraints on this element Element id Composition.section:proceduresSection.code
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:proceduresSection.code.coding.code Fixed value 887171000000109
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:proceduresSection.code.coding.display Fixed value Procedures
entry			Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure)	There are no (further) constraints on this element Element id Composition.section:proceduresSection.entry Data type Reference(https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure)
reference		1..		There are no (further) constraints on this element Element id Composition.section:proceduresSection.entry.reference
referrerDetailsSection		..1		There are no (further) constraints on this element Element id Composition.section:referrerDetailsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:referrerDetailsSection.title Fixed value Referrer details
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:referrerDetailsSection.code.coding.code Fixed value 1052891000000108
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:referrerDetailsSection.code.coding.display Fixed value Referrer details
safetyAlertsSection		..1		There are no (further) constraints on this element Element id Composition.section:safetyAlertsSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:safetyAlertsSection.title Fixed value Safety alerts
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:safetyAlertsSection.code.coding.code Fixed value 886931000000107
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:safetyAlertsSection.code.coding.display Fixed value Safety alerts
socialContextSection				There are no (further) constraints on this element Element id Composition.section:socialContextSection
title			Fixed Value	There are no (further) constraints on this element Element id Composition.section:socialContextSection.title Fixed value Social context
code				There are no (further) constraints on this element
coding				There are no (further) constraints on this element
code			Fixed Value	There are no (further) constraints on this element Element id Composition.section:socialContextSection.code.coding.code Fixed value 887051000000101
display			Fixed Value	There are no (further) constraints on this element Element id Composition.section:socialContextSection.code.coding.display Fixed value Social context
entry			Reference(Binary)	There are no (further) constraints on this element Element id Composition.section:socialContextSection.entry Data type Reference(Binary)

Search Parameters
- Mandatory Search Parameters
- Optional Search Parameters

Search Parameters

Name	Type	Description	Conformance	Path
identifier	token	Version-independent identifier for the Composition	SHALL	Composition.identifier

Additional parameters can be on Composition - Search Parameters

Mandatory Search Parameters

None defined

Optional Search Parameters

identifier

SHOULD support searching using the identifier search parameter.

GET [baseUrl]/Composition?identifier={system|}[code]

Example:

GET [baseUrl]/Composition?identifier=FA60BE64-1F34-11EB-A2A8-000C29A364EB

Return all Composition resources for an identifier FA60BE64-1F34-11EB-A2A8-000C29A364EB.