UK Core Clinical and Technical Assurance Sprint 4 Documentation Pack

UK Core Clinical and Technical Assurance Sprint 4 Documentation Pack

Composition Delta

This table should be read in conjunction with the PRSB Logical Model Mappings for Composition to obtain a complete picture of the cardinalities for all elements.

Base R4 Composition ProfileUKCore-Composition CareConnect-EpisodeOfCare-1 Notes
Not applicable Extension-UKCoreCareSettingType
• 0..*
• Not hard coded to the profile
extension (careSettingTypeExtension)
• 0..1
Composition.identifier.system
• 0..1
Composition.identifier.system
• 0..1
Composition.identifier.system
• 1..1
Cardinality tighter in Care Connect
Composition.identifier.value
• 0..1
Composition.identifier.value
• 0..1
Composition.identifier.value
• 1..1
Cardinality tighter in Care Connect
Composition.identifier.assigner
• 0..1
• Reference(Organization)
Composition.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.identifier.assigner
• 0..1
• Reference ( CareConnect-Organization-1 )
Composition.status
• 1..1
• ValueSet: CompositionStatus
(Required)
• Change value set from http://hl7.org/fhir/ValueSet/composition-status to http://hl7.org/fhir/ValueSet/composition-status\|4.0.1
Composition.status
• 1..1
• ValueSet: CompositionStatus
(Required)

Composition.status
• 1..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-composition-status.html )
(Required)

Composition.type
• 1..1
• ValueSet: FHIR Document Type Codes
(Preferred)
Composition.type
• 1..1
• ValueSet: UKCoreDocumentType
(extensible)
Composition.type
• 1..1
• ValueSet: https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-DocumentType-1
(extensible)
ValueSets and bindings are different to R4
Composition.category
• 0..*
• ValueSet: Document Class Value Set
(Example)
• Renamed from class to category
Composition.category
• 0..*
• ValueSet: Document Class Value Set
(Example)
• Definition changed in UKCore
Composition.class
• 0..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-doc-classcodes.html
(Example)

Composition.subject
• 0..1
Reference(Any)
• Min Cardinality changed from 1 to 0
Composition.subject
• 0..1
• Reference(Resource)
Composition.subject
• 1…1
• Reference ( Resource )
Cardinality tighter in Care Connect
Composition.subject.identifier.assigner
• 0..1
• Reference(Organization)
Composition.subject.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.subject.identifier.assigner
• 0..1
• Reference(Organization)
Composition.encounter
• 0..1
• Reference(Encounter)
Composition.encounter
• 0..1
• Reference(UK Core Encounter)
Composition.encounter
• 0..1
• Reference ( CareConnect-Encounter-1 )
Composition.encounter.identifier.assigner
• 0..1
• Reference(Organization)
Composition.encounter.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.encounter.identifier.assigner
• 0..1
• Reference(Organization)
Composition.author
• 1..*
• Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
• Type Reference: Added Target Types PractitionerRole, Organization
Composition.author
• 1..*
• Reference(Device| UK Core Practitioner| UK Core PractitionerRole| UK Core Patient| UK Core RelatedPerson| UK Core Organization)
Composition.author
• 1..*
• Reference ( Device | RelatedPerson | CareConnect-Practitioner-1 | CareConnect-Patient-1 )
Added Target Types in R4
Composition.author.identifier.assigner
• 0..1
• Reference(Organization)
Composition.author.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.author.identifier.assigner
• 0..1
• Reference(Organization)
Composition.confidentiality
• 0..1
• ValueSet: V3 Value SetConfidentialityClassification
(Required)
• Change value set from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification\|2014-03-26
• No longer marked as Modifier
Composition.confidentiality
• 0..1
• ValueSet: v3.ConfidentialityClassification
(Required)
Composition.confidentiality
• 0..1
• ValueSet: http://hl7.org/fhir/stu3/v3/ConfidentialityClassification/vs.html
(Required)
Composition.attester.mode
• 1..1
• ValueSet: CompositionAttestationMode
(Required)
• Max Cardinality changed from * to 1
• Change value set from http://hl7.org/fhir/ValueSet/composition-attestation-mode to http://hl7.org/fhir/ValueSet/composition-attestation-mode\|4.0.1
Composition.attester.mode
• 1..1
• ValueSet: CompositionAttestationMode
(Required)
Composition.attester.mode
• 1..*
• ValueSet: http://hl7.org/fhir/stu3/valueset-composition-attestation-mode.html
(Required)
Cardinality different in Care Connect
Composition.attester.party
• 0..1
• Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
• Type Reference: Added Target Types RelatedPerson, PractitionerRole
Composition.attester.party
• 0..1
• Reference(UK Core Patient| UK Core RelatedPerson| UK Core Practitioner| UK Core PractitionerRole| UK Core Organization)
Composition.attester.party
• 0..1
• Reference ( CareConnect-Organization-1 | CareConnect-Practitioner-1 | CareConnect-Patient-1 )
Added Target Types in R4
Composition.attester.party.identifier.assigner
• 0..1
• Reference(Organization)
Composition.attester.party.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.attester.party.identifier.assigner
• 0..1
• Reference(Organization)
Composition.custodian
• 0..1
• Reference(Organization)
Composition.custodian
• 0..1
• Reference(UK Core Organization)
Composition.custodian
• 0..1
• Reference ( CareConnect-Organization-1 )
Composition.custodian.identifier.assigner
• 0..1
• Reference(Organization)
Composition.custodian.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.custodian.identifier.assigner
• 0..1
• Reference(Organization)
Composition.relatesTo.code
• 1..1
• ValueSet: DocumentRelationshipType
(Required)
• Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type to http://hl7.org/fhir/ValueSet/document-relationship-type\|4.0.1
Composition.relatesTo.code
• 1..1
• ValueSet: DocumentRelationshipType
(Required)
Composition.relatesTo.code
• 1..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-document-relationship-type.html )
(Required)
Composition.relatesTo.target[x]
• 1..1
• Identifier,
• Reference(Composition)
Composition.relatesTo.target[x]
• 1..1
• Identifier,
• Reference(UK Core Composition)
Composition.relatesTo.target[x]
• 1..1
• Identifier,
• Reference ( CareConnect-Composition-1 )
Composition.event.detail.identifier.assigner
• 0..1
• Reference(Organization)
Composition.event.detail.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.event.detail.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.code
• 0..1
• ValueSet:Document Section Codes
(Example)

Composition.section.code
• 0..1
• ValueSet:UKCoreCompositionSectionCode
(extensible)

Composition.section.code
• 0..1
• ValueSet:https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-CompositionSectionCode-1
(preferred)

Composition.section.author
• 0..*
• Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
• Added Element
Composition.section.author
• 0..*
• Reference(Device| UK Core Practitioner| UK Core PractitionerRole| UK Core Patient| UK Core RelatedPerson| UK Core Organization)
Element not present in CareConnect
Added element in R4
Composition.section.author.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.author.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Element not present in CareConnect
Added element in R4
Composition.section.focus
• 0..1
• Reference(Any)
• Added Element
Composition.section.focus
• 0..1
• Reference(Resource)

Element not present in CareConnect
Added element in R4
Composition.section.focus.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.focus.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Element not present in CareConnect
Added element in R4
Composition.section.mode
• 0..1
• ValueSet: ListMode
(Required)
• Change value set from http://hl7.org/fhir/ValueSet/list-mode to http://hl7.org/fhir/ValueSet/list-mode\|4.0.1
• No longer marked as Modifier
Composition.section.mode
• 0..1
• ValueSet: ListMode
(Required)
Composition.section.mode
• 0..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-list-mode.html
(Required)
Composition.section.orderedBy
• 0..1
• ValueSet: List Order Codes (Preferred)
Composition.section.orderedBy
• 0..1
• ValueSet: List Order Codes (Preferred)
Composition.section.orderedBy
• 0..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-list-mode.html (Preferred)
Composition.section.entry.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.entry.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.section.entry.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.emptyReason
• 0..1
• ValueSet: List Empty Reasons
(Preferred)
Composition.section.emptyReason
• 0..1
• ValueSet: List Empty Reasons
(Preferred)
Composition.section.emptyReason
• 0..1
• ValueSet: http://hl7.org/fhir/stu3/valueset-list-empty-reason.html
(Preferred)
Composition.section.section.code
• 0..1
• ValueSet:Document Section Codes
(Example)
Composition.section.section.code
• 0..1
• ValueSet:UKCoreCompositionSectionCode
(extensible)
Composition.section.section.code
• 0..1
• ValueSet:https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-CompositionSectionCode-1
(preferred)
Composition.section.section.author
• 0..*
• Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
Composition.section.section.author
• 0..*
• Reference(Device| UK Core Organization| UK Core Practitioner| UK Core PractitionerRole| UK Core Patient| UK Core RelatedPerson)
Element not present in CareConnect
Added element in R4
Composition.section.section.author.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.section.author.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Element not present in CareConnect
Added element in R4
Composition.section.section.focus.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.section.focus.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Element not present in CareConnect
Added element in R4
Composition.section.section.entry.identifier.assigner
• 0..1
• Reference(Organization)
Composition.section.section.entry.identifier.assigner
• 0..1
• Reference(UK Core Organization)
Composition.section.section.entry.identifier.assigner
• 0..1
• Reference(Organization)
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